ROSVIDA ANNE B SAN GABRIEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

ROSVIDA ANNE B

Last Name

SAN GABRIEL

Business Name

ROSVIDA ANNE B SAN GABRIEL

Original Issue Date

08/20/2001

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023