BENJAMIN STEELE ROTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058613

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

STEELE

Last Name

ROTH

Business Name

BENJAMIN STEELE ROTH MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/06/2010