ABRAHAM MEDARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

ABRAHAM

Last Name

MEDARIS

Business Name

ABRAHAM MEDARIS MD

Original Issue Date

01/03/2020

Effective Date

01/03/2020

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63017

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021