SUSAN A ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073846

License Status

ACTIVE

Business

First Name

SUSAN A

Last Name

ROTH

Suffix

Business Name

SUSAN A ROTH MD

Original Issue Date

10/01/1986

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2023