ELIZABETH R ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

ELIZABETH R

Last Name

ROTH

Suffix

Business Name

ELIZABETH R ROTH MD

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006