SANFORD I ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063494

License Status

NOT RENEWED

Business

First Name

SANFORD I

Last Name

ROTH

Suffix

Business Name

SANFORD I ROTH MD

Original Issue Date

10/29/1981

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

CHATHAM

State

Zip

02633

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014