ANDREW A ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021090

License Status

EXPIRED

Business

First Name

ANDREW A

Last Name

ROTH

Suffix

Business Name

ANDREW A ROTH MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006