MARK CARROLL EDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098331

License Status

ACTIVE

Business

First Name

MARK

Middle

CARROLL

Last Name

EDDY

Suffix

Business Name

MARK CARROLL EDDY MD

Original Issue Date

07/16/1998

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/03/2023