PAUL MICHAEL ROARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

MICHAEL

Last Name

ROARK

Suffix

Business Name

PAUL MICHAEL ROARK MD

Original Issue Date

10/13/1998

Effective Date

10/13/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006