JENNIFER L ROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112209

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

ROSE

Business Name

JENNIFER L ROSE MD

Original Issue Date

08/25/2004

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/28/2023