ALAN J BIRTWISTLE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107329

License Status

INACTIVE

Business

First Name

ALAN

Middle

Last Name

BIRTWISTLE

Suffix

Business Name

ALAN J BIRTWISTLE MD

Original Issue Date

07/03/2002

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

ST LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014