TODD K ROSENGART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

ROSENGART

Suffix

Business Name

TODD K ROSENGART MD

Original Issue Date

12/28/1999

Effective Date

12/28/1999

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008