ANUPAM ROUTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057832

License Status

NOT RENEWED

Business

First Name

ANUPAM

Last Name

ROUTH

Suffix

Business Name

ANUPAM ROUTH MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

City

ELMHURST

State

Zip

60126

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006