MICHAEL KEITH WOLVERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066432

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

KEITH

Last Name

WOLVERSON

Suffix

Business Name

MICHAEL KEITH WOLVERSON MD

Original Issue Date

04/20/1983

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011