KYLE DOUGLAS ROSE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060539

License Status

EXPIRED

Business

First Name

KYLE

Middle

DOUGLAS

Last Name

ROSE

Suffix

Business Name

KYLE DOUGLAS ROSE DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/19/2017