CHRISTINA LYNN INGRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111212

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINA

Middle

LYNN

Last Name

INGRAM

Business Name

CHRISTINA LYNN INGRAM MD

Original Issue Date

04/20/2004

Effective Date

05/12/2011

Expiration Date

07/31/2014

City

ST LOUIS

State

Zip

63135

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014