RICHARD M KOOTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

KOOTMAN

Suffix

Business Name

RICHARD M KOOTMAN MD

Original Issue Date

10/10/1989

Effective Date

10/10/1989

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006