RON ROSENBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072277

License Status

CANCELLED

Business

Title

First Name

RON

Last Name

ROSENBERG

Business Name

RON ROSENBERG MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

PORT ORANGE

State

Zip

32128

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/22/2018