ROBERT A MCKISSICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

MCKISSICK

Suffix

Business Name

ROBERT A MCKISSICK MD

Original Issue Date

08/20/1981

Effective Date

08/20/1981

Expiration Date

07/31/1987

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006