AMANDA G JUDILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162976

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

Last Name

JUDILLA

Business Name

AMANDA G JUDILLA MD

Original Issue Date

11/18/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

06/28/2023