JEFFREY STEPHEN PEVNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056719

License Status

NOT RENEWED

Business

First Name

JEFFREY STEPHEN

Last Name

PEVNICK

Suffix

Business Name

JEFFREY STEPHEN PEVNICK MD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

07/31/1984

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006