NICOLE DENISE MAKRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100628

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DENISE

Last Name

MAKRAM

Suffix

Business Name

NICOLE DENISE MAKRAM MD

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006