ISSA FARES BAROUDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052743

License Status

NOT RENEWED

Business

First Name

ISSA FARES

Last Name

BAROUDI

Suffix

Business Name

ISSA FARES BAROUDI MD

Original Issue Date

05/14/1976

Effective Date

05/14/1976

Expiration Date

07/01/1982

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006