GREGORY F ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064643

License Status

NOT RENEWED

Business

First Name

GREGORY F

Last Name

ROSEN

Suffix

Business Name

GREGORY F ROSEN MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006