WILLIAM LORD DRAKE JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041851

License Status

INACTIVE

Business

First Name

WILLIAM LORD

Last Name

DRAKE JR

Suffix

Business Name

WILLIAM LORD DRAKE JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

ST. LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006