MARK KIPLAGAT ROTICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

MARK

Middle

KIPLAGAT

Last Name

ROTICH

Suffix

Business Name

MARK KIPLAGAT ROTICH MD

Original Issue Date

10/07/2005

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023