HENRY MARK ROSENBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

HENRY MARK

Last Name

ROSENBERG

Business Name

HENRY MARK ROSENBERG

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005