OWEN J EISELE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036023169

License Status

INACTIVE

Business

First Name

OWEN J

Last Name

EISELE

Suffix

Business Name

OWEN J EISELE MD

Original Issue Date

08/03/1939

Effective Date

08/03/1939

Expiration Date

07/31/1987

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006