COLLEEN A MCEVOY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055059

License Status

EXPIRED

Business

Title

First Name

COLLEEN

Middle

Last Name

MCEVOY

Business Name

COLLEEN A MCEVOY MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

SAINT LOUIS

State

Zip

63122

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011