JANICE L TAKATA ROSSI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

JANICE L TAKATA

Last Name

ROSSI

Suffix

Business Name

JANICE L TAKATA ROSSI MD

Original Issue Date

11/04/1982

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023