MICHAEL THOMAS ROESCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077157

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

ROESCH

Business Name

MICHAEL THOMAS ROESCH DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024