RENEE BAILEY VAN STAVERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

RENEE

Middle

BAILEY

Last Name

VAN STAVERN

Business Name

RENEE BAILEY VAN STAVERN MD

Original Issue Date

01/02/2018

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023