EIRA SOFI EDLUND ROTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151067

License Status

NOT RENEWED

Business

First Name

EIRA

Middle

SOFI EDLUND

Last Name

ROTH

Business Name

EIRA SOFI EDLUND ROTH

Original Issue Date

10/23/2019

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

11/30/2023