VITALIY GREGORY ROTENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069050

License Status

EXPIRED

Business

Title

First Name

VITALIY

Middle

GREGORY

Last Name

ROTENBERG

Business Name

VITALIY GREGORY ROTENBERG MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019