JON D RADCLIFFE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000291

License Status

EXPIRED

Business

First Name

JON

Middle

Last Name

RADCLIFFE

Business Name

JON D RADCLIFFE

Original Issue Date

08/23/1995

Effective Date

08/23/1995

Expiration Date

03/09/1996

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006