ROBERT GIVENS KELLOGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GIVENS

Last Name

KELLOGG

Suffix

Business Name

ROBERT GIVENS KELLOGG MD

Original Issue Date

04/25/2016

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021