ROBERT EUGENE KELLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

ROBERT EUGENE

Last Name

KELLUM

Suffix

Business Name

ROBERT EUGENE KELLUM MD

Original Issue Date

04/09/1997

Effective Date

04/09/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006