GAUTAM K SINGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094523

License Status

NOT RENEWED

Business

First Name

GAUTAM

Middle

Last Name

SINGH

Business Name

GAUTAM K SINGH

Original Issue Date

11/15/1996

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021