JAD MICHEL GENNAOUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103548

License Status

NOT RENEWED

Business

First Name

JAD

Middle

MICHEL

Last Name

GENNAOUI

Suffix

Business Name

JAD MICHEL GENNAOUI MD

Original Issue Date

09/27/2000

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017