KAREN A LICKENBROCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076035

License Status

INACTIVE

Business

First Name

KAREN A

Last Name

LICKENBROCK

Suffix

Business Name

KAREN A LICKENBROCK MD

Original Issue Date

09/29/1987

Effective Date

09/29/1987

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/20/2008