BENJAMIN STEELE ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132800

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

STEELE

Last Name

ROTH

Business Name

BENJAMIN STEELE ROTH MD

Original Issue Date

05/08/2013

Effective Date

05/08/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014