ROBERT S WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

WHITE

Suffix

Business Name

ROBERT S WHITE MD

Original Issue Date

08/01/1985

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011