BRYAN JAMES KIDD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066332

License Status

EXPIRED

Business

Title

First Name

BRYAN

Middle

JAMES

Last Name

KIDD

Business Name

BRYAN JAMES KIDD MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/16/2016