DAVID VIDAL MD - Medical Doctor License in Missouri | # 036037696

DAVID VIDAL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037696

License Status

INACTIVE

Business

N

First Name

DAVID

Last Name

VIDAL

Suffix

MD

Business Name

DAVID VIDAL MD

Original Issue Date

03/14/1962

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

04/17/2008