RICHARD EDWARD DEMING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056862

License Status

NOT RENEWED

Business

First Name

RICHARD EDWARD

Last Name

DEMING

Suffix

Business Name

RICHARD EDWARD DEMING MD

Original Issue Date

06/28/1978

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021