KATE PORTWOOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

KATE

Last Name

PORTWOOD

Business Name

KATE PORTWOOD MD

Original Issue Date

02/05/2025

Effective Date

02/05/2025

Expiration Date

07/31/2026

City

ST. LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/13/2024