ROBERT W WOLFORD 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

Title

First Name

ROBERT

Middle

Last Name

WOLFORD

Business Name

ROBERT W WOLFORD MD

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

07/31/1993

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020