S BURTON ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

S BURTON

Last Name

ROTH

Suffix

Business Name

S BURTON ROTH MD

Original Issue Date

01/01/1997

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020