ROBERT E FENZL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

FENZL

Suffix

Business Name

ROBERT E FENZL MD

Original Issue Date

01/15/1992

Effective Date

01/15/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006