MASHALLAH EZZATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050927

License Status

NOT RENEWED

Business

First Name

MASHALLAH

Last Name

EZZATI

Suffix

Business Name

MASHALLAH EZZATI MD

Original Issue Date

04/14/1975

Effective Date

04/14/1975

City

SAINT LOUIS

State

Zip

63125

Ever Disciplined

LastModifiedDate

09/20/2006