LORRAINE S ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

LORRAINE

Middle

Last Name

ROTH

Suffix

Business Name

LORRAINE S ROTH MD

Original Issue Date

11/16/1989

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020