ROBERT E FENZL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

FENZL

Suffix

Business Name

ROBERT E FENZL MD

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

07/31/1996

City

INGLESIDE

State

Zip

60041

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006