PAUL ELLIS TATUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160360

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

ELLIS

Last Name

TATUM

Business Name

PAUL ELLIS TATUM MD

Original Issue Date

04/22/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63106

Ever Disciplined

LastModifiedDate

06/16/2023