STEPHEN M ROBERTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

CANCELLED

Business

First Name

STEPHEN M

Last Name

ROBERTS

Suffix

Business Name

STEPHEN M ROBERTS MD

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

07/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006