GARY LEE ROTH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135343

License Status

NOT RENEWED

Business

Title

First Name

GARY

Middle

LEE

Last Name

ROTH

Business Name

GARY LEE ROTH DO

Original Issue Date

05/15/2014

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

OKEMOS

State

Zip

48864

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017