DAVID FORD RENDLEMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033593

License Status

INACTIVE

Business

First Name

DAVID FORD

Last Name

RENDLEMAN

Suffix

Business Name

DAVID FORD RENDLEMAN MD

Original Issue Date

08/30/1955

Effective Date

08/30/1955

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006