RICHARD D ROARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046508

License Status

NOT RENEWED

Business

First Name

RICHARD D

Last Name

ROARK

Suffix

Business Name

RICHARD D ROARK MD

Original Issue Date

09/08/1972

Effective Date

09/08/1972

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006