KELLY LYNN ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147371

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

LYNN

Last Name

ROSE

Business Name

KELLY LYNN ROSE MD

Original Issue Date

08/30/2018

Effective Date

08/30/2018

Expiration Date

09/30/2020

City

FORT MYERS

State

Zip

33913

Ever Disciplined

LastModifiedDate

01/14/2021