ELLEN THERESA MCDERMOTT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120119

License Status

INACTIVE

Business

Title

First Name

ELLEN

Middle

THERESA

Last Name

MCDERMOTT

Business Name

ELLEN THERESA MCDERMOTT MD

Original Issue Date

02/14/2008

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014