RONALD LEE DEWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036945

License Status

NOT RENEWED

Business

First Name

RONALD LEE

Last Name

DEWALD

Suffix

Business Name

RONALD LEE DEWALD MD

Original Issue Date

11/01/1960

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023