MARIA ETELLE ROSSELSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

MARIA

Middle

ETELLE

Last Name

ROSSELSON

Suffix

Business Name

MARIA ETELLE ROSSELSON MD

Original Issue Date

04/05/2007

Effective Date

04/05/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020