JONATHAN NICHOLAS BYRD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

NICHOLAS

Last Name

BYRD

Business Name

JONATHAN NICHOLAS BYRD MD

Original Issue Date

08/22/2023

Effective Date

08/22/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2023