SHAUNA RAE ROBERTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

SHAUNA

Middle

RAE

Last Name

ROBERTS

Suffix

Business Name

SHAUNA RAE ROBERTS MD

Original Issue Date

12/14/2001

Effective Date

12/14/2001

Expiration Date

07/31/2005

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006