ROBERT W ENZENAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

ENZENAUER

Suffix

Business Name

ROBERT W ENZENAUER MD

Original Issue Date

07/04/1994

Effective Date

07/04/1994

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006