ROBERT R CORNWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091022

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

CORNWELL

Business Name

ROBERT R CORNWELL MD

Original Issue Date

06/26/1995

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

11/14/2011