PAUL BERNARD ROTERT DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

NOT RENEWED

N

DO

PAUL

BERNARD

ROTERT

PAUL BERNARD ROTERT DO

07/13/2015

07/13/2015

07/31/2017

CHICAGO

IL

60608

COOK

II III IV V

N

11/01/2017