MARK ALLEN ROBERTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

MARK

Middle

ALLEN

Last Name

ROBERTS

Suffix

Business Name

MARK ALLEN ROBERTS MD

Original Issue Date

03/20/2001

Effective Date

03/20/2001

Expiration Date

07/31/2002

City

AURORA

State

Zip

60504

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006