ABBY MICHELLE ROTH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

ABBY

Middle

MICHELLE

Last Name

ROTH

Business Name

ABBY MICHELLE ROTH DMD

Original Issue Date

07/09/2024

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2024