JASON E ROACH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004474

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

ROACH

Business Name

JASON E ROACH

Original Issue Date

09/27/2012

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

12/03/2025