MICHAEL D MEDLOCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078755

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

MEDLOCK

Business Name

MICHAEL D MEDLOCK

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006