IVAN W SLETTEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053534

License Status

INACTIVE

Business

First Name

IVAN W

Last Name

SLETTEN

Business Name

IVAN W SLETTEN

Original Issue Date

08/20/1976

Effective Date

08/20/1976

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006