DAVID G OWEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050474

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

OWEN

Suffix

Business Name

DAVID G OWEN MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006