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Licensee Information

Samuel Klein Roth - PA-C
101361
Active
No
12/01/1990
04/02/2027

Active Supervisor

NameTypeStatusApprovedInactive
Pauli, Jon Warren, MD MD Active 05/21/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Ohio

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/13/2026 4:16:39 PM
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