TIMOTHY J ROTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

Last Name

ROTH

Business Name

TIMOTHY J ROTH MD

Original Issue Date

11/29/2011

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023