SRIPEN LAVAVEJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047961

License Status

NOT RENEWED

Business

First Name

SRIPEN

Last Name

LAVAVEJ

Suffix

Business Name

SRIPEN LAVAVEJ MD

Original Issue Date

08/23/1973

Effective Date

05/23/2014

Expiration Date

07/31/2017

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

11/01/2017