MAXIMILIAN ROTH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000504

License Status

NOT RENEWED

Business

First Name

MAXIMILIAN

Last Name

ROTH

Business Name

MAXIMILIAN ROTH

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006