ANATOLY MOTL ROZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ANATOLY

Middle

MOTL

Last Name

ROZMAN

Suffix

Business Name

ANATOLY MOTL ROZMAN MD

Original Issue Date

06/01/2000

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021