CHARLES S ROTHBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

ROTHBERG

Suffix

Business Name

CHARLES S ROTHBERG MD

Original Issue Date

03/12/1986

Effective Date

03/12/1986

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017