DENNIS L ROBERTS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018940

License Status

EXPIRED

Business

First Name

DENNIS L

Last Name

ROBERTS

Business Name

DENNIS L ROBERTS

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

07/01/1988

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006