TERRY IVAN MONK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060833

License Status

NOT RENEWED

Business

First Name

TERRY IVAN

Last Name

MONK

Suffix

Business Name

TERRY IVAN MONK MD

Original Issue Date

08/29/1980

Effective Date

08/29/1980

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006