PAUL VERN WILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064969

License Status

NOT RENEWED

Business

First Name

PAUL VERN

Last Name

WILLIS

Suffix

Business Name

PAUL VERN WILLIS MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006