RICHARD SLADE WEBB JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034300

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

SLADE

Last Name

WEBB

Suffix

Business Name

RICHARD SLADE WEBB JR MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2011