AMANDA RAE ROSAASEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

RAE

Last Name

ROSAASEN

Business Name

AMANDA RAE ROSAASEN MD

Original Issue Date

06/20/2017

Effective Date

06/20/2017

Expiration Date

09/30/2020

City

SIMI VALLEY

State

Zip

93065

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021