PENINNAH M MUTUNGI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120171

License Status

ACTIVE

Business

First Name

PENINNAH

Middle

Last Name

MUTUNGI

Suffix

Business Name

PENINNAH M MUTUNGI MD

Original Issue Date

02/22/2008

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

62062

Ever Disciplined

LastModifiedDate

05/12/2023