EDWARD K DUVIVIER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029993

License Status

INACTIVE

Business

First Name

EDWARD K

Last Name

DUVIVIER

Suffix

Business Name

EDWARD K DUVIVIER MD

Original Issue Date

05/31/1950

Effective Date

05/31/1950

Expiration Date

07/31/2005

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/04/2007