TERRI ELISA GORMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000460

License Status

EXPIRED

Business

First Name

TERRI

Middle

ELISA

Last Name

GORMAN

Suffix

Business Name

TERRI ELISA GORMAN MD

Original Issue Date

10/07/1999

Effective Date

10/07/1999

Expiration Date

10/05/2002

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006