ROBERT M BANDERA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

BANDERA

Business Name

ROBERT M BANDERA

Original Issue Date

02/11/2002

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023