MARC DAVID KROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112729

License Status

NOT RENEWED

Business

First Name

MARC

Middle

DAVID

Last Name

KROCK

Suffix

Business Name

MARC DAVID KROCK MD

Original Issue Date

12/06/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008