ROBERT THOMAS CARLISLE 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

First Name

ROBERT

Middle

THOMAS

Last Name

CARLISLE

Suffix

Business Name

ROBERT THOMAS CARLISLE MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006