VIRGIL ROLAND BLEISCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034202

License Status

INACTIVE

Business

First Name

VIRGIL ROLAND

Last Name

BLEISCH

Suffix

Business Name

VIRGIL ROLAND BLEISCH MD

Original Issue Date

08/20/1956

Effective Date

08/20/1956

Expiration Date

07/31/1987

City

ST. LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006