EDWARD PHILLIP ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052933

License Status

NOT RENEWED

Business

First Name

EDWARD PHILLIP

Last Name

ROSE

Suffix

Business Name

EDWARD PHILLIP ROSE MD

Original Issue Date

07/15/1976

Effective Date

05/28/2020

Expiration Date

07/31/2023

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023