STEVEN DALE ROSENBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DPM

First Name

STEVEN

Middle

DALE

Last Name

ROSENBERG

Business Name

STEVEN DALE ROSENBERG DPM

Original Issue Date

08/08/1984

Effective Date

01/22/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015