HEIDELENE E DE LA ROSA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034048

License Status

EXPIRED

Business

First Name

HEIDELENE

Middle

Last Name

DE LA ROSA

Business Name

HEIDELENE E DE LA ROSA

Original Issue Date

04/23/1996

Effective Date

04/23/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006