CAROLYN MARIE D'AMBROSIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136510

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

MARIE

Last Name

D'AMBROSIO

Business Name

CAROLYN MARIE D'AMBROSIO MD

Original Issue Date

09/18/2014

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021