STEFANIE M ROSENBERG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

STEFANIE

Middle

Last Name

ROSENBERG

Business Name

STEFANIE M ROSENBERG

Original Issue Date

03/23/2001

Effective Date

02/22/2016

Expiration Date

03/01/2018

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018