ROBERT KENNETH OLDHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

KENNETH

Last Name

OLDHAM

Business Name

ROBERT KENNETH OLDHAM MD

Original Issue Date

02/18/2010

Effective Date

02/18/2010

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017