ATHENA VILLASENO TAYLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096518

License Status

NOT RENEWED

Business

First Name

ATHENA VILLASENO

Last Name

TAYLAN

Suffix

Business Name

ATHENA VILLASENO TAYLAN MD

Original Issue Date

08/21/1997

Effective Date

08/21/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63144

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006