MORTON STANLEY ROSEN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

CANCELLED

Business

First Name

MORTON STANLEY

Last Name

ROSEN

Business Name

MORTON STANLEY ROSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005