PAUL BERNARD ROTERT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062409

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

BERNARD

Last Name

ROTERT

Business Name

PAUL BERNARD ROTERT DO

Original Issue Date

07/06/2012

Effective Date

07/06/2012

Expiration Date

07/05/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014