STANLEY RUSSEL ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041522

License Status

NOT RENEWED

Business

First Name

STANLEY RUSSEL

Last Name

ROSEN

Suffix

Business Name

STANLEY RUSSEL ROSEN MD

Original Issue Date

11/17/1967

Effective Date

11/17/1967

Expiration Date

07/31/2005

City

EVERGREEN

State

Zip

80439

County

COLORADO

Ever Disciplined

LastModifiedDate

10/09/2006