ROBERT MICHAEL SPRAGUE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

MICHAEL

Last Name

SPRAGUE

Business Name

ROBERT MICHAEL SPRAGUE DO

Original Issue Date

04/06/2021

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023