VALERIE M ROTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058330

License Status

CANCELLED

Business

Title

First Name

VALERIE

Middle

Last Name

ROTH

Business Name

VALERIE M ROTH MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/18/2010