NIALL S COLWELL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085628

License Status

INACTIVE

Business

First Name

NIALL S

Last Name

COLWELL

Business Name

NIALL S COLWELL

Original Issue Date

11/16/1992

Effective Date

11/16/1992

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006