ROBERT A DIETRICH MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

INOPERATIVE

Business

First Name

ROBERT A

Last Name

DIETRICH

Suffix

Business Name

ROBERT A DIETRICH MD

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006