LUNDY WADE COLVERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114113

License Status

NOT RENEWED

Business

First Name

LUNDY

Middle

WADE

Last Name

COLVERT

Suffix

Business Name

LUNDY WADE COLVERT MD

Original Issue Date

07/06/2005

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/01/2017