STEPHAN LUDWIG ROTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

STEPHAN LUDWIG

Last Name

ROTH

Suffix

Business Name

STEPHAN LUDWIG ROTH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

COLCHESTER

State

Zip

62326

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

1987000184

Action

Suspension

Discipline Start Date

09/18/1990

Discipline End Date

04/09/1992

Discipline Reason

Dispensing controlled substances to patients for long periods of time. Failing to keep proper dispensing logs.