MICHELE L ROBERTS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

ROBERTS

Business Name

MICHELE L ROBERTS

Original Issue Date

03/23/2001

Effective Date

07/11/2022

Expiration Date

03/01/2024

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025