ABBIE H ROTH MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

ACTIVE

N

ABBIE

H

ROTH

MD

ABBIE H ROTH MD

02/15/2000

04/12/2023

07/31/2026

CHICAGO

IL

60611

COOK

II III IV V

N

04/12/2023