RICHARD EMIL OSTLUND, JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

EMIL

Last Name

OSTLUND, JR

Business Name

RICHARD EMIL OSTLUND, JR MD

Original Issue Date

08/29/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023