MARYELLEN AMATO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070959

License Status

INACTIVE

Business

First Name

MARYELLEN

Last Name

AMATO

Suffix

Business Name

MARYELLEN AMATO MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006