ROBERT DONALD HERTENSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035397

License Status

NOT RENEWED

Business

First Name

ROBERT DONALD

Last Name

HERTENSTEIN

Suffix

Business Name

ROBERT DONALD HERTENSTEIN MD

Original Issue Date

08/20/1958

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021