EDWARD SAMUEL ROTHENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079554

License Status

EXPIRED

Business

Title

First Name

EDWARD

Middle

SAMUEL

Last Name

ROTHENBERG

Business Name

EDWARD SAMUEL ROTHENBERG MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

LastModifiedDate

03/06/2024