JAMES WARREN DONNELLY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097121

License Status

INACTIVE

Business

First Name

JAMES WARREN

Last Name

DONNELLY

Business Name

JAMES WARREN DONNELLY

Original Issue Date

12/24/1997

Effective Date

12/24/1997

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006