MICAH ARTHUR ROBERTS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024