ROBERT GOODWIN LUTAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085097

License Status

ACTIVE

Business

First Name

ROBERT GOODWIN

Last Name

LUTAN

Business Name

ROBERT GOODWIN LUTAN

Original Issue Date

08/10/1992

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

06/08/2023