ROBERT WALTER MANDAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

WALTER

Last Name

MANDAL

Business Name

ROBERT WALTER MANDAL MD

Original Issue Date

05/02/2013

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023