DAVID RICHARD FELLOWS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103525

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

RICHARD

Last Name

FELLOWS

Business Name

DAVID RICHARD FELLOWS MD

Original Issue Date

09/22/2000

Effective Date

09/22/2000

Expiration Date

07/31/2005

City

CORALVILLE

State

Zip

52241

County

JOHNSON

Ever Disciplined

LastModifiedDate

04/08/2013