MICHAEL J D ROBERTS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

J D

Last Name

ROBERTS

Business Name

MICHAEL J D ROBERTS

Original Issue Date

11/14/2005

Effective Date

11/14/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008