BENJAMIN PAUL ROOSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150773

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

PAUL

Last Name

ROOSE

Business Name

BENJAMIN PAUL ROOSE MD

Original Issue Date

09/18/2019

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

Ever Disciplined

LastModifiedDate

07/15/2023