JAN N ROBERTS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JAN N

Last Name

ROBERTS

Business Name

JAN N ROBERTS

Original Issue Date

11/25/1987

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020