ROBERT CHARLES MONTANA III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112106

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CHARLES

Last Name

MONTANA

Suffix

III MD

Business Name

ROBERT CHARLES MONTANA III MD

Original Issue Date

08/13/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/26/2010