EDWARD D KINSELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

KINSELLA

Suffix

Business Name

EDWARD D KINSELLA MD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63117

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006