ERIC ALAN PACKWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097981

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ALAN

Last Name

PACKWOOD

Suffix

Business Name

ERIC ALAN PACKWOOD MD

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63116

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006