KEITH A LAFERRIERE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049000

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

LAFERRIERE

Suffix

Business Name

KEITH A LAFERRIERE MD

Original Issue Date

02/20/1974

Effective Date

02/20/1974

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006