ROBERT P CRUSE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

ROBERT P

Last Name

CRUSE

Suffix

Business Name

ROBERT P CRUSE DO

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61656

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006