MICHELLE ELIZABETH ROTH Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****45

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ELIZABETH

Last Name

ROTH

Business Name

MICHELLE ELIZABETH ROTH

Original Issue Date

08/18/2015

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

ROCKVILLE

State

Zip

47872

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023