ROBERT CORWIN DETCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CORWIN

Last Name

DETCH

Business Name

ROBERT CORWIN DETCH

Original Issue Date

03/18/2008

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011