ELIZABETH R ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028322

License Status

EXPIRED

Business

First Name

ELIZABETH R

Last Name

ROTH

Suffix

Business Name

ELIZABETH R ROTH MD

Original Issue Date

05/26/1992

Effective Date

05/26/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006