MARK ALLEN ROSE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024513

License Status

ACTIVE

Business

First Name

MARK ALLEN

Last Name

ROSE

Suffix

DMD

Business Name

MARK ALLEN ROSE DMD

Original Issue Date

08/04/1997

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/22/2024