ALA EDDIN IMAM MD - Medical Doctor License in Missouri | # 036052671

ALA EDDIN IMAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052671

License Status

NOT RENEWED

Business

N

First Name

ALA EDDIN

Last Name

IMAM

Suffix

MD

Business Name

ALA EDDIN IMAM MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006