ANTONIO R SUBA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034484

License Status

INACTIVE

Business

First Name

ANTONIO R

Last Name

SUBA

Suffix

Business Name

ANTONIO R SUBA MD

Original Issue Date

03/19/1957

Effective Date

03/19/1957

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006