JENNIFER MAGDALENA ROSARIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MAGDALENA

Last Name

ROSARIO

Business Name

JENNIFER MAGDALENA ROSARIO MD

Original Issue Date

07/26/2016

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023