MARK A ROTHSTEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

ROTHSTEIN

Business Name

MARK A ROTHSTEIN

Original Issue Date

09/11/1995

Effective Date

09/11/1995

Expiration Date

07/31/2002

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006