BRIAN MANUEL GILCREASE-GARCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

MANUEL

Last Name

GILCREASE-GARCIA

Business Name

BRIAN MANUEL GILCREASE-GARCIA MD

Original Issue Date

06/08/2019

Effective Date

06/08/2019

Expiration Date

09/30/2020

City

ST. LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021