BEVERLY ROBERTS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

BEVERLY

Last Name

ROBERTS

Business Name

BEVERLY ROBERTS DO

Original Issue Date

08/13/2012

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

VIRGINIA BEACH

State

Zip

23456

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017