TINA M ROZENE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

ROZENE

Business Name

TINA M ROZENE

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

07/31/2005

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020