DONALD HENRY WORTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034887

License Status

NOT RENEWED

Business

First Name

DONALD HENRY

Last Name

WORTMAN

Suffix

Business Name

DONALD HENRY WORTMAN MD

Original Issue Date

08/22/1957

Effective Date

08/22/1957

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006