WYATT ANDREW VERPLAETSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071367

License Status

CANCELLED

Business

Title

First Name

WYATT

Middle

ANDREW

Last Name

VERPLAETSE

Prefix

Business Name

WYATT ANDREW VERPLAETSE MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/16/2020