DAVID L ROTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004239

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ROTH

Business Name

DAVID L ROTH

Original Issue Date

12/08/2003

Effective Date

10/05/2009

Expiration Date

09/30/2011

City

BELLVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2011