THOMAS WILLIAM ROBERTS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057507

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

WILLIAM

Last Name

ROBERTS

Business Name

THOMAS WILLIAM ROBERTS DO

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/27/2010