AXEL J ROSENGART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103565

License Status

NOT RENEWED

Business

First Name

AXEL

Middle

Last Name

ROSENGART

Suffix

Business Name

AXEL J ROSENGART MD

Original Issue Date

09/29/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2014