RICHARD B IVERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050295

License Status

NOT RENEWED

Business

First Name

RICHARD B

Last Name

IVERSON

Suffix

Business Name

RICHARD B IVERSON MD

Original Issue Date

11/26/1974

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/30/2023