CHARLES L ROSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000089

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

ROSEN

Suffix

Business Name

CHARLES L ROSEN MD

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

10/30/1999

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

09/23/2006