HOWARD JAY ROSE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046580

License Status

NOT RENEWED

Business

First Name

HOWARD JAY

Last Name

ROSE

Suffix

Business Name

HOWARD JAY ROSE DO

Original Issue Date

10/20/1972

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021