JOHN MICHAEL ROACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171531

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

MICHAEL

Last Name

ROACH

Business Name

JOHN MICHAEL ROACH MD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

08/12/2024