RENATO C DE LA ROSA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032897

License Status

EXPIRED

Business

First Name

RENATO

Middle

Last Name

DE LA ROSA

Suffix

Business Name

RENATO C DE LA ROSA MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006