SCOTT LAWRENCE SLIVKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021857

License Status

EXPIRED

Business

Title

First Name

SCOTT

Middle

LAWRENCE

Last Name

SLIVKA

Business Name

SCOTT LAWRENCE SLIVKA MD

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006