CAROLYN A MAILLOUX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087090

License Status

NOT RENEWED

Business

First Name

CAROLYN A

Last Name

MAILLOUX

Suffix

Business Name

CAROLYN A MAILLOUX MD

Original Issue Date

08/09/1993

Effective Date

08/09/1993

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006