MARY THERESA O ROSALES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

MARY THERESA O

Last Name

ROSALES

Business Name

MARY THERESA O ROSALES

Original Issue Date

06/01/1993

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023