JOHN M FENNIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112656

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

FENNIG

Suffix

Business Name

JOHN M FENNIG MD

Original Issue Date

11/15/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EARTH CITY

State

Zip

63045

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008