DEBORAH T WADSWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109567

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

WADSWORTH

Suffix

Business Name

DEBORAH T WADSWORTH MD

Original Issue Date

06/26/2003

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021