ELLIOT J ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014563

License Status

EXPIRED

Business

First Name

ELLIOT J

Last Name

ROTH

Suffix

Business Name

ELLIOT J ROTH MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006