ROBERT W FROST Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

ROBERT W

Last Name

FROST

Business Name

ROBERT W FROST

Original Issue Date

01/28/1998

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023