FRED J ROTHENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

FRED J

Last Name

ROTHENBERGER

Suffix

Business Name

FRED J ROTHENBERGER MD

Original Issue Date

08/15/1996

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023