BRADLEY SCOTT ROTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145106

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

SCOTT

Last Name

ROTER

Business Name

BRADLEY SCOTT ROTER MD

Original Issue Date

02/14/2018

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

VASHON

State

Zip

98070

County

WASHINGTON

Ever Disciplined

LastModifiedDate

01/14/2021