VIRGIL DELANO SHORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039956

License Status

NOT RENEWED

Business

First Name

VIRGIL DELANO

Last Name

SHORT

Suffix

Business Name

VIRGIL DELANO SHORT MD

Original Issue Date

08/20/1965

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2011