JERRY LANE LOWDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154720

License Status

ACTIVE

Business

Title

First Name

JERRY

Middle

LANE

Last Name

LOWDER

Business Name

JERRY LANE LOWDER MD

Original Issue Date

11/09/2020

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

07/29/2023