SCOTT LAWRENCE SLIVKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086606

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

LAWRENCE

Last Name

SLIVKA

Business Name

SCOTT LAWRENCE SLIVKA MD

Original Issue Date

06/25/1993

Effective Date

06/25/1993

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/13/2007