ROBERT D PASSOVOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

PASSOVOY

Suffix

Business Name

ROBERT D PASSOVOY MD

Original Issue Date

01/01/1997

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021