SAMUEL PAUL ROARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036024964

License Status

INACTIVE

Business

First Name

SAMUEL PAUL

Last Name

ROARK

Suffix

Business Name

SAMUEL PAUL ROARK MD

Original Issue Date

08/24/1942

Effective Date

08/24/1942

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006