ROBERT A MCKISSICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062294

License Status

INACTIVE

Business

First Name

ROBERT A

Last Name

MCKISSICK

Suffix

Business Name

ROBERT A MCKISSICK MD

Original Issue Date

06/16/1981

Effective Date

06/16/1981

Expiration Date

07/31/1987

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/20/2006