ROBERT NEIL KORNFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

NEIL

Last Name

KORNFIELD

Business Name

ROBERT NEIL KORNFIELD MD

Original Issue Date

03/02/2020

Effective Date

03/02/2020

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021