LAURIE ANN MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100186

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

ANN

Last Name

MARTIN

Suffix

Business Name

LAURIE ANN MARTIN MD

Original Issue Date

05/11/1999

Effective Date

05/11/1999

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006