JAMES G ROTH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

First Name

JAMES G

Last Name

ROTH

Business Name

JAMES G ROTH

Original Issue Date

04/07/1997

Effective Date

05/04/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025