ROBERT M OSIPOV Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

OSIPOV

Business Name

ROBERT M OSIPOV

Original Issue Date

09/06/2012

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023