MARK ALAN ROSEN DDS - Dentist License in Illinois | # 019014971

MARK ALAN ROSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014971

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MARK

Middle

ALAN

Last Name

ROSEN

Business Name

MARK ALAN ROSEN DDS

Original Issue Date

07/17/1974

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022