MICHAEL THOMAS ROSSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

ROSSI

Business Name

MICHAEL THOMAS ROSSI MD

Original Issue Date

07/23/2012

Effective Date

07/23/2012

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017