MERWIN BERYL ROSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000311

License Status

NOT RENEWED

Business

First Name

MERWIN BERYL

Last Name

ROSEN

Suffix

DDS

Business Name

MERWIN BERYL ROSEN DDS

Original Issue Date

04/15/1992

Effective Date

04/15/1992

Expiration Date

09/30/2004

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005