FRED R ROSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069684

License Status

ACTIVE

Business

First Name

FRED R

Last Name

ROSEN

Suffix

Business Name

FRED R ROSEN MD

Original Issue Date

10/17/1984

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2023