CAROLYN P SMALL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083849

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

SMALL

Suffix

Business Name

CAROLYN P SMALL MD

Original Issue Date

12/20/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT LOUIS

State

Zip

63136

Ever Disciplined

LastModifiedDate

04/17/2008