FREDERICK BRUCE PERRY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071013

License Status

NOT RENEWED

Business

First Name

FREDERICK BRUCE

Last Name

PERRY

Suffix

Business Name

FREDERICK BRUCE PERRY DO

Original Issue Date

06/24/1985

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/06/2008