IVAR E ROTH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003202

License Status

NOT RENEWED

Business

First Name

IVAR E

Last Name

ROTH

Business Name

IVAR E ROTH

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1989

City

NEWPORT BEACH

State

Zip

92660

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006