RICHARD LEE BROWN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003080

License Status

ACTIVE

Business

First Name

RICHARD

Middle

LEE

Last Name

BROWN

Suffix

DPM

Business Name

RICHARD LEE BROWN DPM

Original Issue Date

06/27/1979

Effective Date

11/05/2024

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/05/2024