LAILA TUCHE ROSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

LAILA

Middle

TUCHE

Last Name

ROSEN

Business Name

LAILA TUCHE ROSEN

Original Issue Date

01/08/2002

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022