ROBERT EDWARD SOSTHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040867

License Status

NOT RENEWED

Business

First Name

ROBERT EDWARD

Last Name

SOSTHEIM

Suffix

Business Name

ROBERT EDWARD SOSTHEIM MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006