ALAN J CONRAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012300

License Status

EXPIRED

Business

First Name

ALAN

Middle

Last Name

CONRAD

Business Name

ALAN J CONRAD

Original Issue Date

04/23/1981

Effective Date

04/23/1981

Expiration Date

04/23/1983

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006