EMILY S POPOVIC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

POPOVIC

Business Name

EMILY S POPOVIC

Original Issue Date

01/18/2011

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017