PETER ANTHONY ROSALES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112000

License Status

INACTIVE

Business

First Name

PETER

Middle

ANTHONY

Last Name

ROSALES

Suffix

Business Name

PETER ANTHONY ROSALES MD

Original Issue Date

08/02/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LOS OSOS

State

Zip

93402

Ever Disciplined

LastModifiedDate

04/17/2008