MARY ANN MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055289

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

MONTGOMERY

Suffix

Business Name

MARY ANN MONTGOMERY MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006