RICHARD MARC KLEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048299

License Status

NOT RENEWED

Business

First Name

RICHARD MARC

Last Name

KLEIN

Suffix

Business Name

RICHARD MARC KLEIN MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006