PETER LAROSSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157907

License Status

ACTIVE

Business

Title

First Name

PETER

Last Name

LAROSSA

Business Name

PETER LAROSSA MD

Original Issue Date

08/03/2021

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/06/2023