ALYSSA BIXBY ROTOLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

BIXBY

Last Name

ROTOLO

Suffix

Business Name

ALYSSA BIXBY ROTOLO MD

Original Issue Date

03/13/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011