JOSE J ROSALES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

JOSE J

Last Name

ROSALES

Business Name

JOSE J ROSALES

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006