HARLAN J ROSEN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

CANCELLED

Business

First Name

HARLAN J

Last Name

ROSEN

Business Name

HARLAN J ROSEN

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

09/30/1992

City

PALATINE

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005