TERRY DALE WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059820

License Status

NOT RENEWED

Business

First Name

TERRY DALE

Last Name

WEST

Suffix

Business Name

TERRY DALE WEST MD

Original Issue Date

12/14/1979

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017