ALFRED S ROLLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093285

License Status

NOT RENEWED

Business

First Name

ALFRED S

Last Name

ROLLER

Business Name

ALFRED S ROLLER

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

07/31/2002

City

WEST RICHLAND

State

Zip

99353

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006