JONATHAN D ROOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086602

License Status

NOT RENEWED

Business

First Name

JONATHAN D

Last Name

ROOT

Suffix

Business Name

JONATHAN D ROOT MD

Original Issue Date

07/01/1993

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT LOUIS

State

Zip

63105

Ever Disciplined

LastModifiedDate

11/06/2008