ROBERT C MAYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

MAYER

Suffix

Business Name

ROBERT C MAYER MD

Original Issue Date

10/14/2003

Effective Date

10/14/2003

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020