ANDREW MICHELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

ANDREW

Last Name

MICHELSON

Business Name

ANDREW MICHELSON MD

Original Issue Date

08/19/2020

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023