DONALD WILLIAM BUCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051097

License Status

CANCELLED

Business

First Name

DONALD

Middle

WILLIAM

Last Name

BUCK

Suffix

Business Name

DONALD WILLIAM BUCK MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

SAINT LOUIS

State

Zip

63128

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006