IMANI JACKSON ROSARIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

IMANI

Middle

JACKSON

Last Name

ROSARIO

Business Name

IMANI JACKSON ROSARIO MD

Original Issue Date

12/24/2025

Effective Date

12/24/2025

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/24/2025