License Directory

Robert Edward Stallworth Md

Expired

Illinois license 036059291

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036059291
Status
Expired (Not Renewed)
First issued
August 27, 1979
Expired
July 31, 2014
License holder
Robert Edward Stallworth Md
Entity type
Individual

Classifications

More from the license record

Current term began
06/27/2011

Other Illinois licenses under this name

  • IL
    Robert Edward Stallworth Md
    License 125009618
    Temporary Medical Permit
    Expired
    Springfield, IL
    Expired Sep 15, 1980
  • IL
    Robert Edward Stallworth Md
    License 33*****87
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Springfield, IL
    Expired Jul 31, 2014

Contact

Springfield, IL 62781
Sangamon County