CARTER PAGE FENTON JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102147

License Status

ACTIVE

Business

First Name

CARTER

Middle

PAGE

Last Name

FENTON

Suffix

JR DO

Business Name

CARTER PAGE FENTON JR DO

Original Issue Date

03/16/2000

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

06/16/2023