JOHN MIKE BANOWETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055788

License Status

NOT RENEWED

Business

First Name

JOHN MIKE

Last Name

BANOWETZ

Suffix

Business Name

JOHN MIKE BANOWETZ MD

Original Issue Date

09/23/1977

Effective Date

09/23/1977

City

ST LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006