MARK S WALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088136

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

WALD

Suffix

Business Name

MARK S WALD MD

Original Issue Date

03/17/1994

Effective Date

08/14/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023