CHARLES ADAMS CRECELIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

ADAMS

Last Name

CRECELIUS

Business Name

CHARLES ADAMS CRECELIUS MD

Original Issue Date

11/04/2020

Effective Date

11/04/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023