JACK E ROSENBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041229

License Status

INACTIVE

Business

First Name

JACK E

Last Name

ROSENBERG

Suffix

Business Name

JACK E ROSENBERG MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

Expiration Date

07/31/1987

City

WEST HARTFORD

State

Zip

06117

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006