AXEL M FELLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000008

License Status

EXPIRED

Business

First Name

AXEL

Middle

Last Name

FELLER

Business Name

AXEL M FELLER

Original Issue Date

07/18/1986

Effective Date

07/18/1986

Expiration Date

07/15/1987

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006