MATTIE M WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103546

License Status

NOT RENEWED

Business

First Name

MATTIE

Middle

Last Name

WHITE

Suffix

Business Name

MATTIE M WHITE MD

Original Issue Date

09/26/2000

Effective Date

06/04/2015

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63111

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017