ROBERT R HAUSAM 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 R

Last Name

HAUSAM

Suffix

Business Name

ROBERT R HAUSAM MD

Original Issue Date

07/24/1987

Effective Date

07/24/1987

Expiration Date

07/31/1993

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006