PRINCE B OLIVER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046762

License Status

NOT RENEWED

Business

First Name

PRINCE B

Last Name

OLIVER JR

Suffix

Business Name

PRINCE B OLIVER JR MD

Original Issue Date

01/23/1973

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/14/2021