MICHAEL CHARLES ROACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

CHARLES

Last Name

ROACH

Business Name

MICHAEL CHARLES ROACH MD

Original Issue Date

02/04/2016

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HONOLULU

State

Zip

96817

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023