ROBERT WILLIAM BROOKER 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

WILLIAM

Last Name

BROOKER

Suffix

Business Name

ROBERT WILLIAM BROOKER MD

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

07/31/2002

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006