ROCHELLE F BAGATELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

ROCHELLE F

Last Name

BAGATELL

Suffix

Business Name

ROCHELLE F BAGATELL MD

Original Issue Date

06/28/1996

Effective Date

06/28/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006