KEKI R BALSARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

KEKI

Middle

Last Name

BALSARA

Business Name

KEKI R BALSARA MD

Original Issue Date

07/22/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021