COLIN DIFFIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154463

License Status

NOT RENEWED

Business

Title

First Name

COLIN

Last Name

DIFFIE

Business Name

COLIN DIFFIE MD

Original Issue Date

10/07/2020

Effective Date

10/07/2020

Expiration Date

07/31/2023

City

ST. LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023