TINA M ROZENE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030948

License Status

EXPIRED

Business

First Name

TINA M

Last Name

ROZENE

Business Name

TINA M ROZENE

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

06/25/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006