MATILDA MARK ROSANWO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104686

License Status

ACTIVE

Business

First Name

MATILDA

Middle

MARK

Last Name

ROSANWO

Suffix

Business Name

MATILDA MARK ROSANWO MD

Original Issue Date

05/14/2001

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/29/2023