JEREMY ADAM ROTHFELD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059811

License Status

CANCELLED

Business

Title

First Name

JEREMY

Middle

ADAM

Last Name

ROTHFELD

Business Name

JEREMY ADAM ROTHFELD DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/08/2011