REUBEN MERLISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053976

License Status

NOT RENEWED

Business

First Name

REUBEN

Last Name

MERLISS

Suffix

Business Name

REUBEN MERLISS MD

Original Issue Date

12/09/1976

Effective Date

12/09/1976

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006