BARRY DOUGLAS FREE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031692

License Status

NOT RENEWED

Business

First Name

BARRY DOUGLAS

Last Name

FREE

Suffix

Business Name

BARRY DOUGLAS FREE MD

Original Issue Date

11/28/1952

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

11/17/2014