THEODORE JAMES ROBERTS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

THEODORE JAMES

Last Name

ROBERTS

Suffix

DDS

Business Name

THEODORE JAMES ROBERTS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005