ROBERT CHARLES WELLIVER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133090

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CHARLES

Last Name

WELLIVER

Suffix

JR MD

Business Name

ROBERT CHARLES WELLIVER JR MD

Original Issue Date

05/29/2013

Effective Date

05/29/2013

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014