BERTIL ROSEBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

BERTIL

Last Name

ROSEBERG

Suffix

Business Name

BERTIL ROSEBERG MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006