ERLO ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050827

License Status

NOT RENEWED

Business

First Name

ERLO

Last Name

ROTH

Suffix

Business Name

ERLO ROTH MD

Original Issue Date

03/21/1975

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023