ETHAN JAMES ROSENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066820

License Status

EXPIRED

Business

Title

First Name

ETHAN

Middle

JAMES

Last Name

ROSENBERG

Business Name

ETHAN JAMES ROSENBERG MD

Original Issue Date

09/21/2018

Effective Date

09/21/2018

Expiration Date

09/20/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

11/24/2020