ROBERT P PODE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

ROBERT P

Last Name

PODE

Suffix

Business Name

ROBERT P PODE DO

Original Issue Date

06/18/1996

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023