BERNADETTE VIDA DEL ROSARIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

BERNADETTE

Middle

VIDA

Last Name

DEL ROSARIO

Suffix

Business Name

BERNADETTE VIDA DEL ROSARIO MD

Original Issue Date

04/02/2007

Effective Date

04/02/2007

Expiration Date

07/31/2008

City

SACRAMENTO

State

Zip

95825

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008