CHARLES ANDREW ROACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

ANDREW

Last Name

ROACH

Business Name

CHARLES ANDREW ROACH MD

Original Issue Date

08/07/2023

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63112

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2023