JEFFREY WAYNE CHILDERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103674

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

WAYNE

Last Name

CHILDERS

Suffix

Business Name

JEFFREY WAYNE CHILDERS MD

Original Issue Date

10/20/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008