MICHAEL RICHARD ROZUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

ROZUM

Business Name

MICHAEL RICHARD ROZUM MD

Original Issue Date

04/28/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023