WILLIAM HARRISON ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063108

License Status

EXPIRED

Business

Title

First Name

WILLIAM

Middle

HARRISON

Last Name

ROTH

Business Name

WILLIAM HARRISON ROTH MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015