BARRY D SPOON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079994

License Status

INACTIVE

Business

First Name

BARRY D

Last Name

SPOON

Suffix

Business Name

BARRY D SPOON DO

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

65802

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006