MOLLY ALEXANDRA ROSEN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002125

License Status

EXPIRED

Business

Title

DMD

First Name

MOLLY

Middle

ALEXANDRA

Last Name

ROSEN

Business Name

MOLLY ALEXANDRA ROSEN DMD

Original Issue Date

08/10/2019

Effective Date

08/10/2019

Expiration Date

08/10/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/19/2020