ALAN BRUCE LICHTENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052678

License Status

NOT RENEWED

Business

First Name

ALAN BRUCE

Last Name

LICHTENBERG

Suffix

Business Name

ALAN BRUCE LICHTENBERG MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006