License holder summary

Timothy Jason Roth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Timothy Jason Roth is 105 N. Nappanee Street, Elkhart IN 46514. This licensed professional license is not current. The license was granted 03/30/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Timothy Jason Roth
Controlled Substance Registration - Physician
License number
01066340B
Date granted
03/30/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
105 N. Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5848654
LAST UPDATED 2024-03-12 11:07:08 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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