OWEN DENEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028748

License Status

NOT RENEWED

Business

First Name

OWEN

Last Name

DENEEN

Suffix

Business Name

OWEN DENEEN MD

Original Issue Date

05/19/1948

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2011