JESSE H EISENMAN 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

First Name

JESSE H

Last Name

EISENMAN

Suffix

Business Name

JESSE H EISENMAN MD

Original Issue Date

06/02/1986

Effective Date

06/02/1986

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006