MYRON SIDNEY FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041889

License Status

NOT RENEWED

Business

First Name

MYRON SIDNEY

Last Name

FIELDS

Suffix

Business Name

MYRON SIDNEY FIELDS MD

Original Issue Date

07/18/1968

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/17/2014