MARK ANTHONY ROSANOVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014029

License Status

EXPIRED

Business

First Name

MARK ANTHONY

Last Name

ROSANOVA

Suffix

Business Name

MARK ANTHONY ROSANOVA MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006