ROBERT FULLER DEARBORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

ROBERT FULLER

Last Name

DEARBORN

Suffix

Business Name

ROBERT FULLER DEARBORN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006