MARY O POLK MD - Medical Doctor License in Missouri | # 036087921

MARY O POLK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087921

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MARY

Middle

O

Last Name

POLK

Business Name

MARY O POLK MD

Original Issue Date

01/12/1994

Effective Date

07/22/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

11/14/2011