NOELLE ANN ROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

NOELLE

Middle

ANN

Last Name

ROSE

Business Name

NOELLE ANN ROSE

Original Issue Date

06/19/2014

Effective Date

06/19/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016