RUDOLPH E WILLIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095009

License Status

NOT RENEWED

Business

First Name

RUDOLPH E

Last Name

WILLIS

Business Name

RUDOLPH E WILLIS

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/22/2018