KEKI R BALSARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138753

License Status

NOT RENEWED

Business

Title

First Name

KEKI

Middle

Last Name

BALSARA

Business Name

KEKI R BALSARA MD

Original Issue Date

07/22/2015

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021