JONATHAN PAUL FISHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101614

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

PAUL

Last Name

FISHMAN

Suffix

Business Name

JONATHAN PAUL FISHMAN MD

Original Issue Date

11/16/1999

Effective Date

11/16/1999

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006