PORTER E PAVALKO IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000506

License Status

NOT RENEWED

Business

First Name

PORTER

Middle

Last Name

PAVALKO

Business Name

PORTER E PAVALKO

Original Issue Date

01/27/2020

Effective Date

01/27/2020

Expiration Date

01/31/2021

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/11/2021