ANDREW ADAM BERNSTEIN DAVIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065811

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

ADAM BERNSTEIN

Last Name

DAVIS

Business Name

ANDREW ADAM BERNSTEIN DAVIS MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

ST LOUIS

State

Zip

63110

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/23/2014