ADELE M ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

ADELE M

Last Name

ROTH

Suffix

Business Name

ADELE M ROTH MD

Original Issue Date

08/08/1984

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023