MINA MARIE CUNNINGHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072966

License Status

CANCELLED

Business

Title

First Name

MINA

Middle

MARIE

Last Name

CUNNINGHAM

Business Name

MINA MARIE CUNNINGHAM MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/05/2018