ALAN JEROME CONRAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062703

License Status

NOT RENEWED

Business

First Name

ALAN JEROME

Last Name

CONRAD

Suffix

Business Name

ALAN JEROME CONRAD MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61108

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006