ERIC CARLETON ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

CARLETON

Last Name

ROBERTS

Suffix

Business Name

ERIC CARLETON ROBERTS MD

Original Issue Date

11/21/2006

Effective Date

11/21/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008