ROBERT MICHAEL STANFILL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053491

License Status

CANCELLED

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

STANFILL

Suffix

Business Name

ROBERT MICHAEL STANFILL MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/07/2007