ROY P MCRAE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058843

License Status

NOT RENEWED

Business

First Name

ROY

Middle

Last Name

MCRAE

Suffix

JR MD

Business Name

ROY P MCRAE JR MD

Original Issue Date

07/12/1979

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021