LEWIS C HALVERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078330

License Status

NOT RENEWED

Business

First Name

LEWIS C

Last Name

HALVERSON

Suffix

Business Name

LEWIS C HALVERSON MD

Original Issue Date

01/14/1989

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008