DONALD W LYDDON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038453

License Status

NOT RENEWED

Business

First Name

DONALD W

Last Name

LYDDON JR

Suffix

Business Name

DONALD W LYDDON JR MD

Original Issue Date

07/08/1963

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021