PETER SHAMBAUGH ROSI 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

PETER

Middle

SHAMBAUGH

Last Name

ROSI

Suffix

Business Name

PETER SHAMBAUGH ROSI MD

Original Issue Date

04/20/1983

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011