Idaho
Division of Occupational and Professional Licenses
KARLA JEAN ROTH
Board Of Medicine
License number
M-6322
Date granted
09/11/1993
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
1172 Jordan Rd De Pere WI 54115
idaholicensing.com
ID 48361675
LAST UPDATED 2024-03-02 17:20:48 UTC
LAST UPDATED 2024-03-02 17:20:48 UTC
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