JOHN WILLIAM ROTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105151

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WILLIAM

Last Name

ROTH

Business Name

JOHN WILLIAM ROTH

Original Issue Date

07/10/2001

Effective Date

05/14/2019

Expiration Date

09/30/2020

City

HANNIBAL

State

Zip

63401

Ever Disciplined

LastModifiedDate

01/14/2021