MICHAEL PAUL ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117265

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PAUL

Last Name

ROTH

Suffix

Business Name

MICHAEL PAUL ROTH MD

Original Issue Date

12/08/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011