JACOB CONRAD MEYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

CONRAD

Last Name

MEYER

Business Name

JACOB CONRAD MEYER MD

Original Issue Date

03/26/2012

Effective Date

03/26/2012

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63144

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014