HAROLD G ROBERTS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

HAROLD

Middle

Last Name

ROBERTS

Suffix

Business Name

HAROLD G ROBERTS JR MD

Original Issue Date

08/10/2022

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023