ELISA MARIE ROTH DMD - Dentist License in Illinois | # 021002648

ELISA MARIE ROTH DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002648

License Status

ACTIVE

Business

N

First Name

ELISA

Middle

MARIE

Last Name

ROTH

Suffix

DMD

Business Name

ELISA MARIE ROTH DMD

Original Issue Date

03/11/2015

Effective Date

07/09/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

07/09/2024