THEDORE M PECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056421

License Status

NOT RENEWED

Business

First Name

THEDORE M

Last Name

PECK

Suffix

Business Name

THEDORE M PECK MD

Original Issue Date

02/09/1978

Effective Date

02/09/1978

Expiration Date

07/01/1980

City

ST LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006