ROBIN B ROTHBARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025830

License Status

EXPIRED

Business

First Name

ROBIN B

Last Name

ROTHBARD

Suffix

Business Name

ROBIN B ROTHBARD MD

Original Issue Date

07/02/1990

Effective Date

07/02/1990

Expiration Date

06/30/1992

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006