DARREN JOSEPH ROTH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002947

License Status

NOT RENEWED

Business

First Name

DARREN

Middle

JOSEPH

Last Name

ROTH

Business Name

DARREN JOSEPH ROTH

Original Issue Date

02/21/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/22/2010