ROMAN LEE PATRICK JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039064

License Status

INACTIVE

Business

First Name

ROMAN LEE

Last Name

PATRICK JR

Suffix

Business Name

ROMAN LEE PATRICK JR MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006