P ARAVINDAKSHA MENON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059997

License Status

NOT RENEWED

Business

First Name

P ARAVINDAKSHA

Last Name

MENON

Suffix

Business Name

P ARAVINDAKSHA MENON MD

Original Issue Date

01/24/1980

Effective Date

01/24/1980

Expiration Date

07/01/1982

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/10/2017