DAVID SPENCER ATTAWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154954

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

SPENCER

Last Name

ATTAWAY

Business Name

DAVID SPENCER ATTAWAY MD

Original Issue Date

12/07/2020

Effective Date

12/07/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023