ALEXIS JENKS ROETTINGER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045930

License Status

CANCELLED

Business

First Name

ALEXIS

Middle

JENKS

Last Name

ROETTINGER

Suffix

Business Name

ALEXIS JENKS ROETTINGER MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006