POONAM JAIN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084398

License Status

INACTIVE

Business

First Name

POONAM

Last Name

JAIN

Business Name

POONAM JAIN

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

07/31/1999

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006