ROBERT WILLIAM RECTENWALD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

ROBERT WILLIAM

Last Name

RECTENWALD

Business Name

ROBERT WILLIAM RECTENWALD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

07/31/2008

City

QUNICY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008