DAVID A DODGIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099731

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

DODGIN

Suffix

Business Name

DAVID A DODGIN MD

Original Issue Date

03/01/1999

Effective Date

08/01/2008

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2011