WILLIAM ROBERT DEFOOR JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

ROBERT

Last Name

DEFOOR JR

Business Name

WILLIAM ROBERT DEFOOR JR MD

Original Issue Date

08/16/2019

Effective Date

08/10/2023

Expiration Date

07/31/2026

City

CINCINNATI

State

Zip

45229

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2023