PAUL J RENZ III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034153

License Status

EXPIRED

Business

First Name

PAUL

Middle

Last Name

RENZ III

Business Name

PAUL J RENZ III

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006