RICHARD CAL VANDERMYDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034310

License Status

NOT RENEWED

Business

First Name

RICHARD CAL

Last Name

VANDERMYDE

Suffix

Business Name

RICHARD CAL VANDERMYDE MD

Original Issue Date

09/04/1956

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/01/2017