ROBERT B ROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ROBERT B

Last Name

ROTH

Suffix

Business Name

ROBERT B ROTH MD

Original Issue Date

03/29/1984

Effective Date

03/29/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006