RICHARD G MACDONALD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002387

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

MACDONALD

Suffix

DPM

Business Name

RICHARD G MACDONALD DPM

Original Issue Date

08/16/1960

Effective Date

12/11/2008

Expiration Date

01/31/2011

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/10/2011