GREGORY RICHARD BOOTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128297

License Status

INACTIVE

Business

Title

First Name

GREGORY

Middle

RICHARD

Last Name

BOOTH

Business Name

GREGORY RICHARD BOOTH MD

Original Issue Date

06/30/2011

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014