E RICHARD GRAVISS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075184

License Status

INACTIVE

Business

First Name

E RICHARD

Last Name

GRAVISS

Suffix

Business Name

E RICHARD GRAVISS MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/02/2009