DAVID S ROSEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045906

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

ROSEN

Business Name

DAVID S ROSEN

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006