KEITH MANKOWITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093096

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

MANKOWITZ

Suffix

Business Name

KEITH MANKOWITZ MD

Original Issue Date

06/06/1996

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014