ROBERT PRUITT HARDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

ROBERT PRUITT

Last Name

HARDIN

Suffix

Business Name

ROBERT PRUITT HARDIN MD

Original Issue Date

12/18/1987

Effective Date

12/18/1987

Expiration Date

07/31/1996

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006