JENNIFER LAURIE ROSSATO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049744

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

LAURIE

Last Name

ROSSATO

Business Name

JENNIFER LAURIE ROSSATO DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006