Missouri
Jasper
Joplin
Surgery: General
canceled
C51310
male
1985
medical activities:
no activities identified
license issued on September 5, 2003;
Surgeon (General)
Specialist for: General Surgery
Louisiana State University School of Medicine In Shreveport (graduated in 1985)
Graduated in year 1985, Medical School: La State University School of Medicine In Shreveport, Shreveport, LA 71130
Saint Elizabeth Hospital
Saint John's Regional Medical Center
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Profile ID: FRUS-MDS-P-6138