HOWARD LEE ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054842

License Status

EXPIRED

Business

Title

First Name

HOWARD

Middle

LEE

Last Name

ROTH

Business Name

HOWARD LEE ROTH MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009