License holder summary

Bertram S. Roth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bertram S. Roth is 5227 KNOLLTON ROAD, INDIANAPOLIS IN 46228. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Bertram S. Roth
Controlled Substance Registration - Physician
License number
01014825B
Date granted
08/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5227 KNOLLTON ROAD, INDIANAPOLIS IN 46228
indianalicensing.org
ID 5868932
LAST UPDATED 2024-04-11 08:09:33 UTC

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