ADRIAN BENNETT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ADRIAN

Last Name

BENNETT

Business Name

ADRIAN BENNETT DO

Original Issue Date

11/04/2020

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023