UTTARA KOUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157164

License Status

NOT RENEWED

Business

Title

First Name

UTTARA

Last Name

KOUL

Business Name

UTTARA KOUL MD

Original Issue Date

06/02/2021

Effective Date

06/02/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

11/30/2023