DANIEL CHRISTOPHER ROTH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050599

License Status

EXPIRED

Business

First Name

DANIEL

Middle

CHRISTOPHER

Last Name

ROTH

Suffix

Business Name

DANIEL CHRISTOPHER ROTH DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

07/15/2009