ALYSSA SELF MD - Medical Doctor License in Missouri | # 036153620

ALYSSA SELF MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153620

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ALYSSA

Last Name

SELF

Business Name

ALYSSA SELF MD

Original Issue Date

07/08/2020

Effective Date

07/08/2020

Expiration Date

07/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

11/30/2023