ROBERT A BEHMER MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020212-0002

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

BEHMER

Suffix

Business Name

ROBERT A BEHMER MD

Original Issue Date

12/12/1979

Effective Date

12/12/1979

Expiration Date

12/12/1980

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/18/2006