ROBERT A WHITTAKER MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

First Name

ROBERT A

Last Name

WHITTAKER

Business Name

ROBERT A WHITTAKER MD

Original Issue Date

09/03/1991

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024