ERIC GALLIN ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

GALLIN

Last Name

ROBERTS

Business Name

ERIC GALLIN ROBERTS MD

Original Issue Date

03/25/2010

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014