ALAN PAUL K WILD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077449

License Status

NOT RENEWED

Business

First Name

ALAN PAUL K

Last Name

WILD

Suffix

Business Name

ALAN PAUL K WILD MD

Original Issue Date

07/20/1988

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017