LEE VANDER LUGT DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064628

License Status

INACTIVE

Business

First Name

LEE VANDER

Last Name

LUGT

Suffix

Business Name

LEE VANDER LUGT DO

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1990

City

DES PERES

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006