S BURTON ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041664

License Status

NOT RENEWED

Business

First Name

S BURTON

Last Name

ROTH

Suffix

Business Name

S BURTON ROTH MD

Original Issue Date

04/02/1968

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021