ROBERT LUCIEN VAUTRAIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

MD

ROBERT

LUCIEN

VAUTRAIN

ROBERT LUCIEN VAUTRAIN MD

08/10/1981

07/15/2020

07/31/2023

SPRINGFIELD

IL

62712

SANGAMON

II III IV V

N

11/30/2023