ALA EDDIN IMAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052671

License Status

NOT RENEWED

Business

First Name

ALA EDDIN

Last Name

IMAM

Suffix

Business Name

ALA EDDIN IMAM MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006