CAROL ANN CHURCHILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107942

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

CHURCHILL

Suffix

Business Name

CAROL ANN CHURCHILL MD

Original Issue Date

10/01/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MARYLAND HEIGHTS

State

Zip

63043

Ever Disciplined

LastModifiedDate

11/06/2008