PAUL MICHAEL ROARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098477

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

MICHAEL

Last Name

ROARK

Suffix

Business Name

PAUL MICHAEL ROARK MD

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006