ALTA L PRICE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109095

License Status

NOT RENEWED

Business

First Name

ALTA

Middle

Last Name

PRICE

Suffix

Business Name

ALTA L PRICE MD

Original Issue Date

04/24/2003

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021