SAMY T BEBAWY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

SAMY T

Last Name

BEBAWY

Suffix

Business Name

SAMY T BEBAWY MD

Original Issue Date

06/08/1983

Effective Date

06/08/1983

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006