AMY M ROBERTS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

ROBERTS

Suffix

DDS

Business Name

AMY M ROBERTS DDS

Original Issue Date

07/20/2004

Effective Date

07/30/2009

Expiration Date

09/30/2012

City

AURORA

State

Zip

80015

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2012