ELISA HOPE BIRNBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091459

License Status

INACTIVE

Business

First Name

ELISA HOPE

Last Name

BIRNBAUM

Suffix

Business Name

ELISA HOPE BIRNBAUM MD

Original Issue Date

07/29/1995

Effective Date

07/29/1995

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006