KYA RENETTE ROBOTTOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034762

License Status

EXPIRED

Business

Title

First Name

KYA

Middle

RENETTE

Last Name

ROBOTTOM

Business Name

KYA RENETTE ROBOTTOM MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006