SOE S MAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

SOE

Middle

Last Name

MAR

Business Name

SOE S MAR MD

Original Issue Date

04/13/2023

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023