STEPHEN LEE ROSE - Medical Doctor License in Indiana | # 036097265

STEPHEN LEE ROSE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097265

License Status

NOT RENEWED

Business

N

First Name

STEPHEN LEE

Last Name

ROSE

Business Name

STEPHEN LEE ROSE

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

07/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006