MELINDA J ROSEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

MELINDA

Middle

Last Name

ROSEN

Business Name

MELINDA J ROSEN DMD

Original Issue Date

06/21/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024