MARY T MCLENNAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105781

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

MCLENNAN

Suffix

Business Name

MARY T MCLENNAN MD

Original Issue Date

10/26/2001

Effective Date

10/26/2001

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006