MARK D WITTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

WITTRY

Suffix

Business Name

MARK D WITTRY MD

Original Issue Date

09/14/1984

Effective Date

09/14/1984

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020