VIVIAN ROTH MD - Medical Doctor License in New York | # 036026514

VIVIAN ROTH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026514

License Status

NOT RENEWED

Business

N

First Name

VIVIAN

Last Name

ROTH

Suffix

MD

Business Name

VIVIAN ROTH MD

Original Issue Date

11/16/1945

Effective Date

11/16/1945

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006