ROBERT WALTER MANDAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

WALTER

Last Name

MANDAL

Business Name

ROBERT WALTER MANDAL MD

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

07/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020