DAVID T WALDEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091982

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

WALDEN

Business Name

DAVID T WALDEN

Original Issue Date

10/02/1995

Effective Date

10/02/1995

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006