DAVID J ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067777

License Status

ACTIVE

Business

First Name

DAVID J

Last Name

ROTH

Suffix

Business Name

DAVID J ROTH MD

Original Issue Date

10/13/1983

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023