CORAL-ANN ROBERTS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

CORAL-ANN

Last Name

ROBERTS

Business Name

CORAL-ANN ROBERTS

Original Issue Date

10/08/2023

Effective Date

01/16/2024

Expiration Date

03/01/2026

City

DANVILLE

State

Zip

61832

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025