DAVID JOEL PERNIKOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104255

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOEL

Last Name

PERNIKOFF

Suffix

Business Name

DAVID JOEL PERNIKOFF MD

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006