ROBERT ALAN CONWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

ALAN

Last Name

CONWAY

Suffix

Business Name

ROBERT ALAN CONWAY MD

Original Issue Date

12/16/2004

Effective Date

12/16/2004

Expiration Date

07/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006