License holder summary

EPHRAIM S ROTH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EPHRAIM S ROTH is MEMORIAL HOSP & HEALTH CARE CTR, 800 W 9TH ST, JASPER IN 47546. This licensed professional license is not current. The license was granted 07/14/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

EPHRAIM S ROTH
Controlled Substance Registration - Physician
License number
01041083B
Date granted
07/14/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSP & HEALTH CARE CTR, 800 W 9TH ST, JASPER IN 47546
indianalicensing.org
ID 5871516
LAST UPDATED 2024-04-10 10:06:18 UTC

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