MAX H DAVID MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110952

License Status

INACTIVE

Business

First Name

MAX

Middle

Last Name

DAVID

Suffix

Business Name

MAX H DAVID MD

Original Issue Date

03/05/2004

Effective Date

03/05/2004

Expiration Date

07/31/2005

City

WILDWOOD

State

Zip

63040

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006