ROBERT LACKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058190

License Status

NOT RENEWED

Business

First Name

ROBERT

Last Name

LACKAMP

Suffix

Business Name

ROBERT LACKAMP MD

Original Issue Date

12/04/1978

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SAINT JOSEPH

State

Zip

64506

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021