ROBERT LARRY ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057177

License Status

NOT RENEWED

Business

First Name

ROBERT LARRY

Last Name

ROSEN

Suffix

Business Name

ROBERT LARRY ROSEN MD

Original Issue Date

07/24/1978

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017