CLEMENT ST PATRICK ROSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015528

License Status

EXPIRED

Business

Title

First Name

CLEMENT

Middle

ST PATRICK

Last Name

ROSE

Business Name

CLEMENT ST PATRICK ROSE MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006