ADELE M ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069016

License Status

ACTIVE

Business

First Name

ADELE M

Last Name

ROTH

Suffix

Business Name

ADELE M ROTH MD

Original Issue Date

07/12/1984

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/11/2023