STEPHEN L ROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141219

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

Last Name

ROSE

Business Name

STEPHEN L ROSE MD

Original Issue Date

07/13/2016

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

04/08/2023