GREGORY D ROSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052867

License Status

CANCELLED

Business

First Name

GREGORY

Middle

Last Name

ROSEN

Suffix

Business Name

GREGORY D ROSEN MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/21/2007