RUSSEL K L WON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068629

License Status

NOT RENEWED

Business

First Name

RUSSEL K L

Last Name

WON

Suffix

Business Name

RUSSEL K L WON MD

Original Issue Date

05/03/1984

Effective Date

05/03/1984

Expiration Date

07/31/1993

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006