ROBERT WAYNE VAN BOVEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WAYNE

Last Name

VAN BOVEN

Suffix

Business Name

ROBERT WAYNE VAN BOVEN MD

Original Issue Date

06/03/2009

Effective Date

06/03/2009

Expiration Date

07/31/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011