SAMUEL DAVID ROSENTHAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108409

License Status

INACTIVE

Business

First Name

SAMUEL

Middle

DAVID

Last Name

ROSENTHAL

Suffix

Business Name

SAMUEL DAVID ROSENTHAL MD

Original Issue Date

01/09/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HILO

State

Zip

96720

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2017