JUDITH A ROTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073967

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

ROTH

Suffix

Business Name

JUDITH A ROTH MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/2005

City

INDIANAPOLIS

State

Zip

46204

County

INDIANA

Ever Disciplined

LastModifiedDate

08/23/2007