JACK CARTER ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042020

License Status

NOT RENEWED

Business

First Name

JACK CARTER

Last Name

ROBERTS

Suffix

Business Name

JACK CARTER ROBERTS MD

Original Issue Date

08/01/1968

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017