IVAN T MYERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048401

License Status

INACTIVE

Business

First Name

IVAN T

Last Name

MYERS

Suffix

Business Name

IVAN T MYERS MD

Original Issue Date

10/06/1973

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014