MICHAEL DOMINICK ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

DOMINICK

Last Name

ROBERTS

Business Name

MICHAEL DOMINICK ROBERTS MD

Original Issue Date

05/17/2022

Effective Date

05/17/2022

Expiration Date

07/31/2023

City

MOUNTAIN TOP

State

Zip

18707

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023