BISONG HAUPT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123870

License Status

NOT RENEWED

Business

First Name

BISONG

Last Name

HAUPT

Business Name

BISONG HAUPT

Original Issue Date

06/30/2009

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63144

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014