JORDAN ANCELL ROSENBERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

ANCELL

Last Name

ROSENBERG

Business Name

JORDAN ANCELL ROSENBERG DO

Original Issue Date

07/07/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023