DAVID I ROSENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

DAVID I

Last Name

ROSENBERG

Suffix

Business Name

DAVID I ROSENBERG MD

Original Issue Date

04/16/1991

Effective Date

04/16/1991

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006