License holder summary

Randolph Roberts is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Randolph Roberts is St. Anthony Hospital ATTN: Medical Staff Office, 1201 S. Main, Crown Point IN 46307. This licensed professional license is current. The license was granted 07/14/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Randolph Roberts
Controlled Substance Registration - Physician
License number
01036998B
Date granted
07/14/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Hospital ATTN: Medical Staff Office, 1201 S. Main, Crown Point IN 46307
indianalicensing.org
ID 5841799
LAST UPDATED 2021-11-30 02:09:42 UTC

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