JOSE ALBERTO ROSALEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

JOSE

Middle

ALBERTO

Last Name

ROSALEZ

Business Name

JOSE ALBERTO ROSALEZ

Original Issue Date

06/01/2019

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024