MADELINE LOUISE ROSENBAUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

MADELINE

Middle

LOUISE

Last Name

ROSENBAUM

Business Name

MADELINE LOUISE ROSENBAUM

Original Issue Date

07/13/2022

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026