MARK KONWISER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064309

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

KONWISER

Suffix

Business Name

MARK KONWISER MD

Original Issue Date

05/10/1982

Effective Date

05/10/1982

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006