DIRK V ROSENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

DIRK V

Last Name

ROSENBERG

Suffix

Business Name

DIRK V ROSENBERG MD

Original Issue Date

01/01/1997

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023