Ohio
Board of Licensing
Roth, Mark-OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.5881-SA
Date granted
06/13/2005
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
7695 Mentor Ave., Mentor, OH 44060
ohiolicensing.org
ID 28789182
LAST UPDATED 2026-06-27 11:29:43 UTC
LAST UPDATED 2026-06-27 11:29:43 UTC