ROBERT R KNUDSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

KNUDSON

Business Name

ROBERT R KNUDSON

Original Issue Date

06/04/2003

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023