RICHARD LEE AUSTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064979

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

LEE

Last Name

AUSTIN

Business Name

RICHARD LEE AUSTIN MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/02/2014