RICHARD WILLIAM VISSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

RICHARD WILLIAM

Last Name

VISSER

Suffix

Business Name

RICHARD WILLIAM VISSER MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006