KRYSTAL AMY ROSEWELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059749

License Status

CANCELLED

Business

Title

First Name

KRYSTAL

Middle

AMY

Last Name

ROSEWELL

Business Name

KRYSTAL AMY ROSEWELL DO

Original Issue Date

06/20/2014

Effective Date

06/20/2014

Expiration Date

09/11/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/16/2014