BILLY RALPH NORDYKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000220

License Status

EXPIRED

Business

First Name

BILLY

Middle

RALPH

Last Name

NORDYKE

Suffix

Business Name

BILLY RALPH NORDYKE DO

Original Issue Date

10/22/2004

Effective Date

10/22/2004

Expiration Date

02/16/2007

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/21/2007