DAVID S ROSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121846

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ROSEN

Business Name

DAVID S ROSEN

Original Issue Date

08/26/2008

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011