RICHARD FELLARS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051851

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

FELLARS

Suffix

Business Name

RICHARD FELLARS MD

Original Issue Date

09/12/1975

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014