MICHAEL KEITH WOLVERSON MD - Medical Doctor License in Missouri | # 036066432

MICHAEL KEITH WOLVERSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066432

License Status

INACTIVE

Business

N

First Name

MICHAEL

Middle

KEITH

Last Name

WOLVERSON

Suffix

MD

Business Name

MICHAEL KEITH WOLVERSON MD

Original Issue Date

04/20/1983

Effective Date

06/16/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

04/07/2011