BRUCE D WAPEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BRUCE D

Last Name

WAPEN

Suffix

Business Name

BRUCE D WAPEN MD

Original Issue Date

07/23/1986

Effective Date

07/23/1986

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006