SANDRA LYNN ROSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047831

License Status

CANCELLED

Business

First Name

SANDRA

Middle

LYNN

Last Name

ROSE

Suffix

Business Name

SANDRA LYNN ROSE MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006