MIRIAM B RODIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076819

License Status

NOT RENEWED

Business

Title

First Name

MIRIAM

Middle

Last Name

RODIN

Business Name

MIRIAM B RODIN MD

Original Issue Date

03/22/1988

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023