MICHELLE L ROTH - Physician Assistant License in Illinois | # 085003057

MICHELLE L ROTH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003057

License Status

ACTIVE

Business

N

First Name

MICHELLE

Middle

L

Last Name

ROTH

Business Name

MICHELLE L ROTH

Original Issue Date

09/19/2007

Effective Date

01/13/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2026