CHRISTIAN WILLIAM ROTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022967

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

WILLIAM

Last Name

ROTH

Business Name

CHRISTIAN WILLIAM ROTH

Original Issue Date

06/23/2017

Effective Date

08/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021