ROBBIE D SHOOTS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056543

License Status

EXPIRED

Business

First Name

ROBBIE

Middle

Last Name

SHOOTS

Business Name

ROBBIE D SHOOTS

Original Issue Date

06/02/2009

Effective Date

06/02/2009

Expiration Date

06/01/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2010