ROBERT CHARLES MONTANA III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046554

License Status

EXPIRED

Business

First Name

ROBERT

Middle

CHARLES

Last Name

MONTANA

Suffix

III MD

Business Name

ROBERT CHARLES MONTANA III MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006