LORIE AUSTIN MONTAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123188

License Status

NOT RENEWED

Business

First Name

LORIE

Middle

AUSTIN

Last Name

MONTAG

Suffix

Business Name

LORIE AUSTIN MONTAG MD

Original Issue Date

04/15/2009

Effective Date

05/26/2016

Expiration Date

07/31/2017

City

SAINT JOSEPH

State

Zip

64506

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017