ANDREW THOMAS ROOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126221

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

THOMAS

Last Name

ROOT

Business Name

ANDREW THOMAS ROOT MD

Original Issue Date

07/08/2010

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014