HAROLD G ROBERTS JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****79

NOT RENEWED

N

MD

HAROLD

G

ROBERTS

JR

HAROLD G ROBERTS JR MD

01/25/1989

01/25/1989

07/31/1990

CHICAGO

IL

60657

COOK

II III IV V

N

09/26/2006