ROBERT C HARDIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

HARDIE

Business Name

ROBERT C HARDIE MD

Original Issue Date

06/24/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

MUSKEGO

State

Zip

53150

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021