AMY A MOSHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114248

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

MOSHER

Suffix

Business Name

AMY A MOSHER MD

Original Issue Date

07/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/21/2008