JACQUELINE G ROSEN DDS MS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

JACQUELINE G

Last Name

ROSEN DDS MS

Business Name

JACQUELINE G ROSEN DDS MS

Original Issue Date

03/01/1983

Effective Date

06/28/2018

Expiration Date

01/31/2022

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022