New Mexico
Regulation & Licensing Department
Kenneth D Roark
Physician Assistant - Medical
License number
97-PA20
Date granted
11/21/2002
Date expires
03/01/2015
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5288001
LAST UPDATED 2024-04-14 22:19:49 UTC
LAST UPDATED 2024-04-14 22:19:49 UTC
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