JENNIFER S ROBERTS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

ROBERTS

Suffix

Business Name

JENNIFER S ROBERTS DO

Original Issue Date

08/05/2009

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023