DEBORAH SUE ROTH - Physician Assistant License in Illinois | # 085000074

DEBORAH SUE ROTH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000074

License Status

NOT RENEWED

Business

N

First Name

DEBORAH SUE

Last Name

ROTH

Business Name

DEBORAH SUE ROTH

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006