JOHN RICHARD WITTENBORN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056523

License Status

NOT RENEWED

Business

First Name

JOHN RICHARD

Last Name

WITTENBORN JR

Suffix

Business Name

JOHN RICHARD WITTENBORN JR MD

Original Issue Date

03/10/1978

Effective Date

03/10/1978

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006