MICHAEL JOSEPH REBAR DO DPM Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

REBAR

Suffix

DO DPM

Business Name

MICHAEL JOSEPH REBAR DO DPM

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006