KATHERINE ROSE GOETZINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

ROSE

Last Name

GOETZINGER

Business Name

KATHERINE ROSE GOETZINGER MD

Original Issue Date

10/09/2014

Effective Date

10/09/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017