MARY O POLK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087921

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

Last Name

POLK

Business Name

MARY O POLK MD

Original Issue Date

01/12/1994

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

11/14/2011