License holder summary

LISA ANNE ROTH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LISA ANNE ROTH is New York NY 10025. This medical practitioner license is current. The license was granted 06/03/2014 and expired on 03/06/2017.

Department of State

Board of Medicine

LISA ANNE ROTH
Graduate Medical Trainee
License number
MT207297
Date granted
06/03/2014
Date expires
03/06/2017
Class
Graduate Medical Trainee
Status
Active
Address
New York NY 10025
medicinepa.com
ID 37563931
LAST UPDATED 2024-03-20 18:18:22 UTC

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