RALPH B FAIRCHILD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085753

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

FAIRCHILD

Suffix

Business Name

RALPH B FAIRCHILD MD

Original Issue Date

12/28/1992

Effective Date

12/28/1992

Expiration Date

07/31/1996

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

02/04/2009