TODD MICHAEL ROCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002417

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MICHAEL

Last Name

ROCK

Business Name

TODD MICHAEL ROCK

Original Issue Date

11/18/2004

Effective Date

12/23/2009

Expiration Date

03/01/2012

City

TEMPLE

State

Zip

76502

County

TEXAS

Ever Disciplined

LastModifiedDate

04/11/2012