JAN AXELBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138448

License Status

NOT RENEWED

Business

Title

First Name

JAN

Last Name

AXELBAUM

Business Name

JAN AXELBAUM MD

Original Issue Date

06/25/2015

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023