ROBERT LEO BLACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

ROBERT LEO

Last Name

BLACK

Suffix

Business Name

ROBERT LEO BLACK MD

Original Issue Date

11/30/1992

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023