ROBERT ALAN CAVANAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ROBERT ALAN

Last Name

CAVANAUGH

Suffix

Business Name

ROBERT ALAN CAVANAUGH MD

Original Issue Date

09/24/1982

Effective Date

09/24/1982

Expiration Date

07/31/1987

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006