IAN S ROCHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001238

License Status

EXPIRED

Business

Title

First Name

IAN

Middle

Last Name

ROCHE

Business Name

IAN S ROCHE MD

Original Issue Date

07/23/2018

Effective Date

07/23/2018

Expiration Date

01/22/2019

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/28/2019