ROBERT B G MOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065605

License Status

NOT RENEWED

Business

First Name

ROBERT B G

Last Name

MOU

Suffix

Business Name

ROBERT B G MOU MD

Original Issue Date

11/09/1982

Effective Date

11/09/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006