ELI A ROSENTHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000285

License Status

EXPIRED

Business

First Name

ELI

Middle

Last Name

ROSENTHAL

Suffix

Business Name

ELI A ROSENTHAL MD

Original Issue Date

05/09/2006

Effective Date

05/09/2006

Expiration Date

11/08/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/26/2007