KYA RENETTE ROBOTTOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

KYA

Middle

RENETTE

Last Name

ROBOTTOM

Business Name

KYA RENETTE ROBOTTOM MD

Original Issue Date

05/18/1998

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011