RONALD DAVID DEAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

RONALD

Middle

DAVID

Last Name

DEAN

Business Name

RONALD DAVID DEAN DO

Original Issue Date

03/11/2020

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

LAKE STLOUS

State

Zip

63367

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023