PETER ANTHONY ROSALES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045429

License Status

EXPIRED

Business

First Name

PETER

Middle

ANTHONY

Last Name

ROSALES

Suffix

Business Name

PETER ANTHONY ROSALES MD

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

08/22/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006