WILLIAM RICHARD DEAGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094020

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RICHARD

Last Name

DEAGLE

Suffix

Business Name

WILLIAM RICHARD DEAGLE MD

Original Issue Date

08/17/1996

Effective Date

08/17/1996

Expiration Date

07/31/1999

City

VISTA

State

Zip

92084

Ever Disciplined

LastModifiedDate

08/11/2008

Case Number

2004005536

Action

Refuse To Renew

Discipline Start Date

09/22/2004

Discipline Reason

Disciplined in Colorado.