RICHARD E WHITE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036268

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

WHITE

Suffix

Business Name

RICHARD E WHITE MD

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/25/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006