JACOB CALVEY MARSHALL JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037222

License Status

EXPIRED

Business

First Name

JACOB

Middle

CALVEY

Last Name

MARSHALL

Suffix

JR MD

Business Name

JACOB CALVEY MARSHALL JR MD

Original Issue Date

09/03/1997

Effective Date

09/03/1997

Expiration Date

09/01/2000

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006