MONICA H ULTMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095559

License Status

NOT RENEWED

Business

First Name

MONICA H

Last Name

ULTMANN

Suffix

Business Name

MONICA H ULTMANN MD

Original Issue Date

06/02/1997

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011