MICAH ARTHUR ROBERTS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029023

License Status

ACTIVE

Business

First Name

MICAH

Middle

ARTHUR

Last Name

ROBERTS

Suffix

DMD

Business Name

MICAH ARTHUR ROBERTS DMD

Original Issue Date

06/05/2012

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/23/2024