DWIGHT DAVID STAPLETON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141329

License Status

NOT RENEWED

Business

Title

First Name

DWIGHT

Middle

DAVID

Last Name

STAPLETON

Business Name

DWIGHT DAVID STAPLETON MD

Original Issue Date

07/26/2016

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

01/14/2021