MARK ALAN ROSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000963

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARK

Middle

ALAN

Last Name

ROSEN

Business Name

MARK ALAN ROSEN DDS

Original Issue Date

01/19/1978

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

05/09/2022