PAUL BRYAN ROACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113684

License Status

ACTIVE

Business

First Name

PAUL

Middle

BRYAN

Last Name

ROACH

Suffix

Business Name

PAUL BRYAN ROACH MD

Original Issue Date

05/12/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023