NATHAN L ROBERTS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038109

License Status

EXPIRED

Business

First Name

NATHAN

Middle

Last Name

ROBERTS

Suffix

Business Name

NATHAN L ROBERTS MD

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/2001

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006