ROBERT F S PUENTES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

ROBERT F S

Last Name

PUENTES

Suffix

Business Name

ROBERT F S PUENTES MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006