JUSTIN WADE ROBERTS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163215

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

WADE

Last Name

ROBERTS

Business Name

JUSTIN WADE ROBERTS DO

Original Issue Date

12/20/2022

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

FARMINGTON

State

Zip

63640

Ever Disciplined

LastModifiedDate

08/09/2023