ROBERT J VAN VOLKENBURGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

VAN VOLKENBURGH

Business Name

ROBERT J VAN VOLKENBURGH

Original Issue Date

02/08/2000

Effective Date

02/08/2000

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006