BRAD C ROBERTS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

BRAD

Middle

Last Name

ROBERTS

Suffix

Business Name

BRAD C ROBERTS DO

Original Issue Date

07/14/2006

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