MARCUS ALAN ROACH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007167

License Status

NOT RENEWED

Business

First Name

MARCUS

Middle

ALAN

Last Name

ROACH

Business Name

MARCUS ALAN ROACH

Original Issue Date

07/28/2015

Effective Date

08/12/2023

Expiration Date

09/30/2025

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/30/2025