RICHARD D CORNWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125152

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

CORNWELL

Business Name

RICHARD D CORNWELL MD

Original Issue Date

03/10/2010

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014