KEVIN JOSEPH ROACHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

KEVIN JOSEPH

Last Name

ROACHE

Suffix

Business Name

KEVIN JOSEPH ROACHE MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/31/2005

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017