ROSEMARY L CANNISTRARO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

ROSEMARY L

Last Name

CANNISTRARO

Business Name

ROSEMARY L CANNISTRARO MD

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

07/31/1996

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017