RICHARD ALLISON DEWALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038199

License Status

NOT RENEWED

Business

First Name

RICHARD ALLISON

Last Name

DEWALL

Suffix

Business Name

RICHARD ALLISON DEWALL MD

Original Issue Date

11/29/1962

Effective Date

11/29/1962

City

DAYTON

State

Zip

45419

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006