MERWIN BERYL ROSEN DDS - Dentist License in Illinois | # 137000311

MERWIN BERYL ROSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000311

License Status

NOT RENEWED

Business

N

First Name

MERWIN BERYL

Last Name

ROSEN

Suffix

DDS

Business Name

MERWIN BERYL ROSEN DDS

Original Issue Date

04/15/1992

Effective Date

04/15/1992

Expiration Date

09/30/2004

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005