GARY FRANCIS ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

GARY FRANCIS

Last Name

ROTH

Suffix

Business Name

GARY FRANCIS ROTH MD

Original Issue Date

01/01/1997

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MARTINTON

State

Zip

60951

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023