ANDREW MICHAEL ROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081390

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

MICHAEL

Last Name

ROTH

Business Name

ANDREW MICHAEL ROTH MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024