License holder summary

Daniel C. Roth is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Daniel C. Roth is 2512 E Dupont Road, Suite 110, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 02/09/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Daniel C. Roth
Controlled Substance Registration-Osteopathic Physician
License number
02003462B
Date granted
02/09/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
2512 E Dupont Road, Suite 110, Fort Wayne IN 46825
indianalicensing.org
ID 5800336
LAST UPDATED 2024-04-12 06:15:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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