ROBERT L BLOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BLOOD

Suffix

Business Name

ROBERT L BLOOD MD

Original Issue Date

08/28/2003

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021