ROBERT FRANK UNDERWOOD MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

NOT RENEWED

N

ROBERT FRANK

UNDERWOOD

MD

ROBERT FRANK UNDERWOOD MD

01/01/1997

09/01/1982

BETHALTO

IL

62010

MADISON

II III IV V

Y

03/24/2007

1979000009

Revocation

02/28/1980