JONATHAN CHARLES ROBERTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

CHARLES

Last Name

ROBERTS

Business Name

JONATHAN CHARLES ROBERTS MD

Original Issue Date

08/20/2010

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023