ROBERT B AVENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077778

License Status

NOT RENEWED

Business

First Name

ROBERT B

Last Name

AVENA

Business Name

ROBERT B AVENA

Original Issue Date

09/13/1988

Effective Date

09/13/1988

Expiration Date

07/31/1993

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006