RICHARD DANIEL SPELLBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037279

License Status

NOT RENEWED

Business

First Name

RICHARD DANIEL

Last Name

SPELLBERG

Suffix

Business Name

RICHARD DANIEL SPELLBERG MD

Original Issue Date

09/13/1961

Effective Date

09/13/1961

City

LAKEWOOD

State

Zip

90712

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006