PATRICK SAYAVONG DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092541

License Status

INACTIVE

Business

First Name

PATRICK

Last Name

SAYAVONG

Suffix

Business Name

PATRICK SAYAVONG DO

Original Issue Date

03/25/1996

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/05/2020