R LAWRENCE TYCHSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096609

License Status

ACTIVE

Business

First Name

R LAWRENCE

Last Name

TYCHSEN

Suffix

Business Name

R LAWRENCE TYCHSEN MD

Original Issue Date

08/30/1997

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/13/2023