ROBERT FOSTER MERCHANT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

FOSTER

Last Name

MERCHANT

Suffix

JR MD

Business Name

ROBERT FOSTER MERCHANT JR MD

Original Issue Date

10/15/1998

Effective Date

10/15/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006