PRESTON SCOTT EISWIRTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145099

License Status

NOT RENEWED

Business

Title

First Name

PRESTON

Middle

SCOTT

Last Name

EISWIRTH

Business Name

PRESTON SCOTT EISWIRTH MD

Original Issue Date

02/13/2018

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

01/14/2021