ROBERT G MONTGOMERY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076538

License Status

INACTIVE

Business

First Name

ROBERT G

Last Name

MONTGOMERY

Suffix

Business Name

ROBERT G MONTGOMERY MD

Original Issue Date

01/26/1988

Effective Date

01/26/1988

Expiration Date

07/31/1996

City

GREENDALE

State

Zip

53129

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1990006801

Action

Probation

Discipline Start Date

12/17/1987

Discipline End Date

10/03/1990