MICHAEL DEWAYNE ROACH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145319

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

DEWAYNE

Last Name

ROACH

Business Name

MICHAEL DEWAYNE ROACH DO

Original Issue Date

03/16/2018

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

ASHLAND

State

Zip

65010

Ever Disciplined

LastModifiedDate

01/14/2021