DAVID STANLEY ROSENBAUM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

DAVID STANLEY

Last Name

ROSENBAUM

Business Name

DAVID STANLEY ROSENBAUM

Original Issue Date

08/06/1996

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024