DAVID J ROTH MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006155

License Status

NOT RENEWED

Business

Business Name

DAVID J ROTH MD

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

01/01/1996

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006