ROBERT L PENDERGAST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098901

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

PENDERGAST

Suffix

Business Name

ROBERT L PENDERGAST MD

Original Issue Date

08/26/1998

Effective Date

08/26/1998

Expiration Date

07/31/2002

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006