JOSEPH DEROSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

DEROSA

Suffix

Business Name

JOSEPH DEROSA MD

Original Issue Date

06/14/1994

Effective Date

06/14/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006