RICHARD GEORGE MOUTVIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036351

License Status

NOT RENEWED

Business

First Name

RICHARD GEORGE

Last Name

MOUTVIC

Suffix

Business Name

RICHARD GEORGE MOUTVIC MD

Original Issue Date

12/07/1959

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021