LARRY KEITH ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061140

License Status

NOT RENEWED

Business

First Name

LARRY KEITH

Last Name

ROBERTS

Suffix

Business Name

LARRY KEITH ROBERTS MD

Original Issue Date

10/27/1980

Effective Date

10/27/1980

Expiration Date

07/31/1984

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/14/2008