ROBERT E BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

BECKER

Suffix

Business Name

ROBERT E BECKER MD

Original Issue Date

08/10/1983

Effective Date

08/10/1983

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006