BARRY IRWIN UNGERLEIDER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123978

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Middle

IRWIN

Last Name

UNGERLEIDER

Business Name

BARRY IRWIN UNGERLEIDER DO

Original Issue Date

07/10/2009

Effective Date

09/07/2011

Expiration Date

07/31/2014

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

11/17/2014