WALESKA LARICE 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

WALESKA

Last Name

LARICE

Business Name

WALESKA LARICE MD

Original Issue Date

02/20/2014

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63005

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023