MARK C ROSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019833

License Status

EXPIRED

Business

First Name

MARK C

Last Name

ROSE

Suffix

Business Name

MARK C ROSE MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006