ELLIOT J ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

ELLIOT J

Last Name

ROTH

Suffix

Business Name

ELLIOT J ROTH MD

Original Issue Date

11/29/1983

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023