KATRINA ANN BOOTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

KATRINA

Middle

ANN

Last Name

BOOTH

Business Name

KATRINA ANN BOOTH MD

Original Issue Date

06/28/2011

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

CINCINNATI

State

Zip

45255

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014