EDWARD TIMOTHY ROSE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

EDWARD

Middle

TIMOTHY

Last Name

ROSE

Suffix

DMD

Business Name

EDWARD TIMOTHY ROSE DMD

Original Issue Date

08/21/2003

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024