ALLEN JEROME ROSENBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

ALLEN JEROME

Last Name

ROSENBAUM

Suffix

Business Name

ALLEN JEROME ROSENBAUM MD

Original Issue Date

07/17/1987

Effective Date

07/17/1987

Expiration Date

07/31/1993

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020