RAYMOND M FISH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054774

License Status

INACTIVE

Business

First Name

RAYMOND M

Last Name

FISH

Suffix

Business Name

RAYMOND M FISH MD

Original Issue Date

06/30/1977

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/08/2014