MARY G JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094368

License Status

NOT RENEWED

Business

First Name

MARY G

Last Name

JOSEPH

Suffix

Business Name

MARY G JOSEPH MD

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006