ELIZABETH ANN ROSE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060587

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

ANN

Last Name

ROSE

Business Name

ELIZABETH ANN ROSE DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61615

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/28/2011