The holder whose full name is ROTH, EPHRAIM S,come from BELLE HARBOR NY,hold the Physician license(NO.01041083A) which status is Expired Non-Renewable.
| Name | ROTH, EPHRAIM S |
|---|---|
| License Number | 01041083A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BELLE HARBOR |
| State | NY |