DONALD ROBERT FISK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059224

License Status

NOT RENEWED

Business

First Name

DONALD ROBERT

Last Name

FISK

Suffix

Business Name

DONALD ROBERT FISK MD

Original Issue Date

08/20/1979

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/01/2017