KALEN RAY DIONNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

KALEN

Middle

RAY

Last Name

DIONNE

Business Name

KALEN RAY DIONNE MD

Original Issue Date

11/05/2020

Effective Date

11/05/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023