ROBERT J DORMAN JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067949

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

DORMAN JR

Suffix

Business Name

ROBERT J DORMAN JR DO

Original Issue Date

11/16/1983

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/14/2021