STEPHEN NATHAN ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099722

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

NATHAN

Last Name

ROTH

Suffix

Business Name

STEPHEN NATHAN ROTH MD

Original Issue Date

02/26/1999

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

06/02/2023