ALBERT LEE VAN AMBURG III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052656

License Status

NOT RENEWED

Business

First Name

ALBERT LEE

Last Name

VAN AMBURG III

Suffix

Business Name

ALBERT LEE VAN AMBURG III MD

Original Issue Date

04/15/1976

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021