PAUL BRYAN ROACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

PAUL

Middle

BRYAN

Last Name

ROACH

Suffix

Business Name

PAUL BRYAN ROACH MD

Original Issue Date

05/13/2005

Effective Date

03/11/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2025