RICHARD BARTHOLO LEWAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061089

License Status

NOT RENEWED

Business

First Name

RICHARD BARTHOLO

Last Name

LEWAN JR

Suffix

Business Name

RICHARD BARTHOLO LEWAN JR MD

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

07/01/1982

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006