MECCA T MCDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092386

License Status

NOT RENEWED

Business

First Name

MECCA

Middle

Last Name

MCDONALD

Suffix

Business Name

MECCA T MCDONALD MD

Original Issue Date

02/03/1996

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021