PETER ANTHONY ROSALES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

PETER

Middle

ANTHONY

Last Name

ROSALES

Suffix

Business Name

PETER ANTHONY ROSALES MD

Original Issue Date

08/02/2004

Effective Date

08/02/2004

Expiration Date

07/31/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008