IVAN W SLETTEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

IVAN W

Last Name

SLETTEN

Business Name

IVAN W SLETTEN

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ST LOUIS

State

Zip

63136

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006