The holder whose full name is ROTH, LEO,come from LA JOLLA CA,hold the Physician license(NO.01016000A) which status is Expired Non-Renewable.
| Name | ROTH, LEO |
|---|---|
| License Number | 01016000A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LA JOLLA |
| State | CA |