LARRY ROTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016425

License Status

NOT RENEWED

Business

First Name

LARRY

Last Name

ROTH

Suffix

DDS

Business Name

LARRY ROTH DDS

Original Issue Date

07/11/1978

Effective Date

06/08/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2016