ROBERT B G MOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ROBERT B G

Last Name

MOU

Suffix

Business Name

ROBERT B G MOU MD

Original Issue Date

03/21/1983

Effective Date

03/21/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006