ADAM CORGAN ROTH - Physician Assistant License in Michigan | # 085008601

ADAM CORGAN ROTH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008601

License Status

NOT RENEWED

Business

N

First Name

ADAM

Middle

CORGAN

Last Name

ROTH

Business Name

ADAM CORGAN ROTH

Original Issue Date

09/10/2021

Effective Date

09/10/2021

Expiration Date

03/01/2022

State

MI

Ever Disciplined

N

LastModifiedDate

07/27/2022