DANICE BROOKE ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

DANICE

Middle

BROOKE

Last Name

ROBERTS

Suffix

Business Name

DANICE BROOKE ROBERTS MD

Original Issue Date

12/01/2009

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014