ROGER JEROME WAXELMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104350

License Status

INACTIVE

Business

First Name

ROGER

Middle

JEROME

Last Name

WAXELMAN

Suffix

Business Name

ROGER JEROME WAXELMAN MD

Original Issue Date

03/15/2001

Effective Date

03/15/2001

Expiration Date

07/31/2002

City

GLENDALE

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006