ROBERT THEIS SPARROW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062055

License Status

ACTIVE

Business

First Name

ROBERT THEIS

Last Name

SPARROW

Suffix

Business Name

ROBERT THEIS SPARROW MD

Original Issue Date

04/28/1981

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

04/24/2023