KELLY ANN ROTH - Orthotist, Prosthetist, and Pedorthist License in Indiana | # 213000351

KELLY ANN ROTH

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000351

License Status

ACTIVE

Business

N

First Name

KELLY

Middle

ANN

Last Name

ROTH

Business Name

KELLY ANN ROTH

Original Issue Date

12/07/2016

Effective Date

01/23/2026

Expiration Date

09/30/2027

State

IN

Ever Disciplined

N

LastModifiedDate

01/23/2026