JOSEPH R DE SANTOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069198

License Status

NOT RENEWED

Business

First Name

JOSEPH R

Last Name

DE SANTOLA

Suffix

Business Name

JOSEPH R DE SANTOLA MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/19/2012