SHERWYN JORDAN WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126841

License Status

NOT RENEWED

Business

First Name

SHERWYN

Middle

JORDAN

Last Name

WAYNE

Suffix

Business Name

SHERWYN JORDAN WAYNE MD

Original Issue Date

11/04/2010

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014