THEODIS MORRIS WHEATT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056839

License Status

INACTIVE

Business

First Name

THEODIS MORRIS

Last Name

WHEATT

Suffix

Business Name

THEODIS MORRIS WHEATT MD

Original Issue Date

06/15/1978

Effective Date

06/15/1978

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006