MICHAEL P DEL ROSARIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DEL ROSARIO

Suffix

Business Name

MICHAEL P DEL ROSARIO MD

Original Issue Date

05/31/2002

Effective Date

05/31/2002

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006