RONALD GLENN ROSEN MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

RONALD GLENN

Last Name

ROSEN

Suffix

Business Name

RONALD GLENN ROSEN MD

Original Issue Date

10/28/1981

Effective Date

10/28/1981

Expiration Date

09/30/1992

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005