ROBERT L DEITCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

DEITCH

Suffix

Business Name

ROBERT L DEITCH MD

Original Issue Date

05/05/1983

Effective Date

05/05/1983

Expiration Date

07/31/1999

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020