DANIEL A ROSENTHAL

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

ACTIVE

N

DANIEL

A

ROSENTHAL

DANIEL A ROSENTHAL

10/04/2000

07/07/2023

07/31/2026

SKOKIE

IL

60077

COOK

II III IV V

N

07/07/2023