LINDA R PROCTOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

Last Name

PROCTOR

Suffix

Business Name

LINDA R PROCTOR MD

Original Issue Date

11/29/2017

Effective Date

11/29/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021