ALEXANDER SKAVYSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130269

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Last Name

SKAVYSH

Business Name

ALEXANDER SKAVYSH MD

Original Issue Date

05/04/2012

Effective Date

05/04/2012

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014