LYLE BARNES MONTGOMERY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164340

License Status

ACTIVE

Business

Title

First Name

LYLE

Middle

BARNES

Last Name

MONTGOMERY

Business Name

LYLE BARNES MONTGOMERY MD

Original Issue Date

04/11/2023

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

Ever Disciplined

LastModifiedDate

12/09/2024