CHARLES S ROTHBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

ROTHBERG

Suffix

Business Name

CHARLES S ROTHBERG MD

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017