ERIC ETHAN ROBINSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ETHAN

Last Name

ROBINSON

Suffix

Business Name

ERIC ETHAN ROBINSON MD

Original Issue Date

07/01/2015

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021