ROBERT ALLEN SELLARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

ALLEN

Last Name

SELLARDS

Suffix

Business Name

ROBERT ALLEN SELLARDS MD

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006