CHARLES L ROLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117022

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

ROLLER

Suffix

Business Name

CHARLES L ROLLER MD

Original Issue Date

10/04/2006

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011