L DEAN EGBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073417

License Status

NOT RENEWED

Business

First Name

L DEAN

Last Name

EGBERT

Suffix

Business Name

L DEAN EGBERT MD

Original Issue Date

08/07/1986

Effective Date

08/07/1986

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006