The holder whose full name is ROTH, MELVIN ISIDORE,come from PHOENIX AZ,hold the Physician license(NO.01018103A) which status is Expired Non-Renewable.
| Name | ROTH, MELVIN ISIDORE |
|---|---|
| License Number | 01018103A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PHOENIX |
| State | AZ |