ROBERT THEIS SPARROW 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 THEIS

Last Name

SPARROW

Suffix

Business Name

ROBERT THEIS SPARROW MD

Original Issue Date

02/24/1982

Effective Date

02/24/1982

Expiration Date

07/31/1984

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020