PHILIP DAVID ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055148

License Status

NOT RENEWED

Business

First Name

PHILIP DAVID

Last Name

ROSEN

Suffix

Business Name

PHILIP DAVID ROSEN MD

Original Issue Date

07/18/1977

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021