ELIZABETH R ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090264

License Status

NOT RENEWED

Business

First Name

ELIZABETH R

Last Name

ROTH

Suffix

Business Name

ELIZABETH R ROTH MD

Original Issue Date

03/02/1995

Effective Date

03/02/1995

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006