WILLIAM HARRISON ROTH MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

ACTIVE

N

MD

WILLIAM

HARRISON

ROTH

WILLIAM HARRISON ROTH MD

11/08/2023

11/08/2023

07/31/2026

CHICAGO

IL

60637

COOK

PRACTITIONER

II III IV V

N

11/08/2023