ROBERT L VICKERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076215

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

VICKERMAN

Business Name

ROBERT L VICKERMAN

Original Issue Date

10/24/1987

Effective Date

10/24/1987

Expiration Date

07/31/2005

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006