VALERIE M ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

VALERIE

Middle

Last Name

ROTH

Business Name

VALERIE M ROTH MD

Original Issue Date

08/08/2013

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2024