STEPHANIE RENEE ROSANIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038446

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

RENEE

Last Name

ROSANIA

Suffix

Business Name

STEPHANIE RENEE ROSANIA MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006