ROBERT R CORNWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

CORNWELL

Business Name

ROBERT R CORNWELL MD

Original Issue Date

08/21/1995

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011