Idaho
Division of Occupational and Professional Licenses
BRANDON JEREMY ROTH
Board Of Medicine
License number
LRT-834
Date granted
09/22/2000
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 4430 POCATELLO ID 83205
idaholicensing.com
ID 48361668
LAST UPDATED 2024-03-14 10:21:40 UTC
LAST UPDATED 2024-03-14 10:21:40 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.