ANDREW ADAM ROSENTHAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105511

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

ADAM

Last Name

ROSENTHAL

Business Name

ANDREW ADAM ROSENTHAL

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2012