JOHN CLOVIS SOUCY JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042934

License Status

INACTIVE

Business

First Name

JOHN CLOVIS

Last Name

SOUCY JR

Suffix

Business Name

JOHN CLOVIS SOUCY JR MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

Expiration Date

07/31/1987

City

ST. CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006