RICHARD JOHN HAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055353

License Status

NOT RENEWED

Business

First Name

RICHARD JOHN

Last Name

HAM

Suffix

Business Name

RICHARD JOHN HAM MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006