The holder whose full name is Roth, Alan Irvin,come from Louisville KY,hold the Temporary MD Permit license(NO.99051351A) which status is Superceded.
| Name | Roth, Alan Irvin |
|---|---|
| License Number | 99051351A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |