ADAM D ROSENFELD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048971

License Status

CANCELLED

Business

First Name

ADAM

Middle

Last Name

ROSENFELD

Suffix

Business Name

ADAM D ROSENFELD DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006