DAVID WILSON DELZELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104115

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILSON

Last Name

DELZELL

Suffix

Business Name

DAVID WILSON DELZELL MD

Original Issue Date

02/02/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/06/2008