ROBERT JAMES DIZES JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

ROBERT

Middle

JAMES

Last Name

DIZES

Suffix

Business Name

ROBERT JAMES DIZES JR

Original Issue Date

03/05/2002

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026