ROBERT RUSSELL ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025157

License Status

NOT RENEWED

Business

First Name

ROBERT RUSSELL

Last Name

ROTH

Suffix

Business Name

ROBERT RUSSELL ROTH MD

Original Issue Date

09/12/1942

Effective Date

09/12/1942

Expiration Date

07/31/1987

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006