DAVID WILLIAM SPIVEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001056

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

WILLIAM

Last Name

SPIVEY

Business Name

DAVID WILLIAM SPIVEY MD

Original Issue Date

02/10/2024

Effective Date

02/10/2024

Expiration Date

08/09/2024

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

01/08/2025