JOHN ROTH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JOHN

Last Name

ROTH JR

Suffix

Business Name

JOHN ROTH JR MD

Original Issue Date

08/12/1981

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017