TIPU SULTAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048120

License Status

NOT RENEWED

Business

Title

First Name

TIPU

Last Name

SULTAN

Business Name

TIPU SULTAN MD

Original Issue Date

08/23/1973

Effective Date

11/12/2008

Expiration Date

07/31/2011

City

FLORISSANT

State

Zip

63033

Ever Disciplined

LastModifiedDate

11/14/2011