LYNN RAOUL DALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044263

License Status

NOT RENEWED

Business

First Name

LYNN RAOUL

Last Name

DALE

Suffix

Business Name

LYNN RAOUL DALE MD

Original Issue Date

07/01/1971

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/14/2021