ZAHAVA G ROTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

ZAHAVA

Middle

Last Name

ROTH

Business Name

ZAHAVA G ROTH

Original Issue Date

10/27/2023

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026