EDWARD TIMOTHY ROSE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002149

License Status

ACTIVE

Business

First Name

EDWARD

Middle

TIMOTHY

Last Name

ROSE

Suffix

DMD

Business Name

EDWARD TIMOTHY ROSE DMD

Original Issue Date

08/23/2005

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

08/27/2024