PHILIP L CUSTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095704

License Status

INACTIVE

Business

First Name

PHILIP L

Last Name

CUSTER

Suffix

Business Name

PHILIP L CUSTER MD

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006