ROBERT L VICKERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

VICKERMAN

Business Name

ROBERT L VICKERMAN

Original Issue Date

12/02/1991

Effective Date

12/02/1991

Expiration Date

07/31/1996

City

DURAND

State

Zip

61024

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006