ROBERT VINCENT ELLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

VINCENT

Last Name

ELLER

Suffix

Business Name

ROBERT VINCENT ELLER DO

Original Issue Date

11/01/2004

Effective Date

11/01/2004

Expiration Date

07/31/2008

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008