ROBERT THEIS SPARROW 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 THEIS

Last Name

SPARROW

Suffix

Business Name

ROBERT THEIS SPARROW MD

Original Issue Date

01/01/1997

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023