MANUEL I MARBAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047186

License Status

NOT RENEWED

Business

First Name

MANUEL I

Last Name

MARBAN

Suffix

Business Name

MANUEL I MARBAN MD

Original Issue Date

02/07/1973

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

DES PERES

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014