SANDRA J AHLUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075667

License Status

INACTIVE

Business

First Name

SANDRA J

Last Name

AHLUM

Suffix

Business Name

SANDRA J AHLUM MD

Original Issue Date

08/23/1987

Effective Date

05/21/2020

Expiration Date

07/31/2023

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/21/2020