JOHN MICHAEL ROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

JOHN MICHAEL

Last Name

ROSE

Business Name

JOHN MICHAEL ROSE

Original Issue Date

09/10/1982

Effective Date

09/10/1982

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005