W RICHARD SYLVANOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043679

License Status

NOT RENEWED

Business

First Name

Middle

RICHARD

Last Name

SYLVANOVICH

Suffix

Business Name

W RICHARD SYLVANOVICH MD

Original Issue Date

08/10/1970

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

ST LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023