LI MA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114844

License Status

NOT RENEWED

Business

First Name

Last Name

Suffix

Business Name

LI MA MD

Original Issue Date

11/07/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT CHARLES

State

Zip

63303

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008