PRERANA JAIN ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126886

License Status

NOT RENEWED

Business

Title

First Name

PRERANA

Middle

JAIN

Last Name

ROTH

Business Name

PRERANA JAIN ROTH MD

Original Issue Date

11/17/2010

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014