ROBERT M ROTH Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000407

License Status

CANCELLED

Business

First Name

ROBERT M

Last Name

ROTH

Business Name

ROBERT M ROTH

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005

Case Number

1992001578

Action

Revocation

Discipline Start Date

06/02/1994