ROSVIDA ANNE B SAN GABRIEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

ROSVIDA ANNE B

Last Name

SAN GABRIEL

Business Name

ROSVIDA ANNE B SAN GABRIEL

Original Issue Date

04/24/1996

Effective Date

04/24/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020