TAPANKUMAR S ROY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

NOT RENEWED

N

TAPANKUMAR S

ROY

MD

TAPANKUMAR S ROY MD

01/30/1989

01/30/1989

07/31/1999

ST LOUIS

MO

63110

MISSOURI

II III IV V

N

04/07/2011