Indiana
Professional Licensing Agency
Gary Francis Roth
Controlled Substance Registration - Physician
License number
01033901C
Date granted
06/19/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health System, 3500 South LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876048
LAST UPDATED 2024-04-03 03:00:55 UTC
LAST UPDATED 2024-04-03 03:00:55 UTC
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