ROBERT B MERRICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

MERRICK

Suffix

Business Name

ROBERT B MERRICK MD

Original Issue Date

08/01/2003

Effective Date

08/01/2003

Expiration Date

07/31/2005

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017