SARA DE LA ROSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

SARA

Last Name

DE LA ROSA

Business Name

SARA DE LA ROSA MD

Original Issue Date

08/19/2020

Effective Date

08/19/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023