BRUCE IAN CARLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096992

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

IAN

Last Name

CARLIN

Suffix

Business Name

BRUCE IAN CARLIN MD

Original Issue Date

11/14/1997

Effective Date

11/14/1997

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006