DANIEL G ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044821

License Status

NOT RENEWED

Business

First Name

DANIEL G

Last Name

ROTH

Suffix

Business Name

DANIEL G ROTH MD

Original Issue Date

09/16/1971

Effective Date

09/16/1971

City

WALLA WALLA

State

Zip

99362

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006