PARLEY W MADSEN III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094611

License Status

NOT RENEWED

Business

First Name

PARLEY

Middle

Last Name

MADSEN

Suffix

III MD

Business Name

PARLEY W MADSEN III MD

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

07/31/2002

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006