RUSSELL ROBERT KRAEGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116299

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

ROBERT

Last Name

KRAEGER

Suffix

Business Name

RUSSELL ROBERT KRAEGER MD

Original Issue Date

06/23/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008