RODERIC C CRIST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015174

License Status

EXPIRED

Business

First Name

RODERIC C

Last Name

CRIST

Suffix

Business Name

RODERIC C CRIST MD

Original Issue Date

04/05/1983

Effective Date

04/05/1983

Expiration Date

01/01/1985

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006