ROBERT L BLOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BLOOD

Suffix

Business Name

ROBERT L BLOOD MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020