ROBERT KINGSLEY ATTEBERRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

ROBERT

Middle

KINGSLEY

Last Name

ATTEBERRY

Suffix

Business Name

ROBERT KINGSLEY ATTEBERRY MD

Original Issue Date

04/09/2001

Effective Date

04/09/2001

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006