JOHN T PORVAZNIK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091680

License Status

INACTIVE

Business

First Name

JOHN T

Last Name

PORVAZNIK

Business Name

JOHN T PORVAZNIK

Original Issue Date

08/23/1995

Effective Date

08/23/1995

Expiration Date

07/31/1999

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006