PAUL W MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029534

License Status

NOT RENEWED

Business

First Name

PAUL W

Last Name

MONTGOMERY

Suffix

Business Name

PAUL W MONTGOMERY MD

Original Issue Date

09/14/1949

Effective Date

09/14/1949

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006