ROBERT D CHILDERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

ROBERT D

Last Name

CHILDERS

Suffix

Business Name

ROBERT D CHILDERS MD

Original Issue Date

08/25/1986

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023