MARK CHANASUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172467

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

CHANASUE

Business Name

MARK CHANASUE MD

Original Issue Date

10/25/2024

Effective Date

10/25/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

10/24/2024