License Directory

Jacob Walton Roth

Active

California license A87747

License

Licensed by
Medical Board of California
License number
A87747
Status
Active (Current)
First issued
June 18, 2004
Expires
May 31, 2028
License holder
Jacob Walton Roth
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Building # 24
5755 Cottle Rd
San Jose, CA 95123-3640
Santa Clara County