MICHAEL STUART ROTH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006569

License Status

NOT RENEWED

Business

First Name

MICHAEL STUART

Last Name

ROTH

Business Name

MICHAEL STUART ROTH

Original Issue Date

08/21/1973

Expiration Date

01/01/1997

City

SYRACUSE

State

Zip

13219

County

NEW YORK

Ever Disciplined

LastModifiedDate

08/31/2005