MARK ANTHONY ROSANOVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

MARK ANTHONY

Last Name

ROSANOVA

Suffix

Business Name

MARK ANTHONY ROSANOVA MD

Original Issue Date

11/01/1983

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023