CHARLES STODDARD EBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163119

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

STODDARD

Last Name

EBY

Business Name

CHARLES STODDARD EBY MD

Original Issue Date

12/09/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/06/2023