ROBERT LEE PRENTICE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032807

License Status

INACTIVE

Business

First Name

ROBERT LEE

Last Name

PRENTICE

Suffix

Business Name

ROBERT LEE PRENTICE MD

Original Issue Date

06/14/1954

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2011